ROGER C BRAINARD

TAMPA, FL
NPI1467450338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: FL  ME34885)
Enumeration Date2005-07-13
Last Update Date2011-05-12
Business Address
Dr. ROGER C BRAINARD M.D
3006 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-874-3006
Mailing Address
Dr. ROGER C BRAINARD M.D
3006 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-874-3006