Organization
ROBERT BRAUNER MD PL
Active
Other names
NORTHSIDE OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E BRAUNER M.D. (PRESIDENT)
(813) 979-9100
Entity
Organization
Contact information
Practice address
13601 BRUCE B DOWNS BLVD, SUITE 121, TAMPA, FL 33613
(813) 979-9100
(813) 979-1175
Mailing address
13601 BRUCE B DOWNS BLVD, SUITE 121, TAMPA, FL 33613
(813) 979-9100
(813) 979-1175
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
Primary
ME39272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067627600
—
FL
Enumeration date
06/11/2006
Last updated
04/05/2010
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