ROGER C. BRAINARD, MD, PA

TAMPA, FL
NPI1720390875
Entity TypeOrganization
Authorized ContactTINA R PENROD
Billing Manager
813-876-2324
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  ME34885)
Enumeration Date2010-07-06
Last Update Date2010-07-06
Business Address
ROGER C. BRAINARD, MD, PA
3006 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-874-3006
Mailing Address
ROGER C. BRAINARD, MD, PA
3006 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-874-3006
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