EDWIN ALBERTO BRACHO BOSCAN

TAMPA, FL
NPI1609675768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: WI  16-316)
Enumeration Date2025-03-11
Last Update Date2025-03-11
Business Address
EDWIN ALBERTO BRACHO BOSCAN
7171 N DALE MABRY HWY
TAMPA, FL 33614-2665
Phone number: 813-558-8070
Mailing Address
EDWIN ALBERTO BRACHO BOSCAN
7171 N DALE MABRY HWY
TAMPA, FL 33614-2665
Phone number: 813-558-8070