Bragg, Richard Scott

Bragg, Richard Scott is an individual health care provider with primary practice located at 580 Rinehart Rd Suite 110, Lake Mary FL 32746-1551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bragg, Richard Scott can be contacted via phone (407) 805-8989.

Contact Information

Primary practice address
580 Rinehart Rd Suite 110 Lake Mary FL 32746-1551
Phone: (407) 805-8989
Fax: (407) 805-8833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0065139 Florida

Profile Details

NPI number 1558336347
LBN Legal business name Bragg, Richard Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558336347 NPPES
Florida MEDICAID 251635700

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