RICHARD S BRAGG MD PA
Ambulatory Health at Rinehart Rd, Lake Mary, FL

License number
Florida ME0065139
Category
Ambulatory Health
Type
Primary Care
Owner
Name: RICHARD BRAGG MD
Title: PRESIDENT
Phone: (407) 805-8989
Address
Address
580 Rinehart Rd SUITE 110, Lake Mary, FL 32746
National Provider ID: 1194000554
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Richard S. Bragg, M.D., PA

580 Rinehart Rd, Lake Mary, FL 32746

Registration:
Aug 13, 1997
State ID:
P97000070213
Business type:
Domestic for Profit Corporation
President:
Richard S. Bragg (President)

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