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1003888538
ANTHONY BROMAGEN
TAMPA, FL
NPI
1003888538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OH 50.000894)
Enumeration Date
2006-02-07
Last Update Date
2009-11-10
Business Address
Mr. ANTHONY BROMAGEN PA
12880 COMMODITY PL
TAMPA, FL 33626-3101
Phone number: 813-343-5500
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Mailing Address
Mr. ANTHONY BROMAGEN PA
PO BOX 21686
TAMPA, FL 33622-1686
Phone number: 813-343-5500
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