Individual
DR. TODD M BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
841 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8364
(904) 396-5682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101240262
VA
207P00000X
Emergency Medicine Physician
Primary
ME133546
FL
208D00000X
General Practice Physician
0101240262
VA
Other
Enumeration date
10/16/2006
Last updated
05/23/2026
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