Individual
MR. DOMINGO A BRACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, MBA
Contact information
Practice address
2450 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2316
(407) 951-2406
Mailing address
13157 PALOMA DR, ORLANDO, FL 32837-8723
(407) 951-2406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PU 4150
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS25140
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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