Bromagen, Anthony

Bromagen, Anthony is an individual health care provider with primary practice located at 12880 Commodity Pl , Tampa FL 33626-3101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bromagen, Anthony can be contacted via phone (813) 343-5500.

Contact Information

Primary practice address
12880 Commodity Pl Tampa FL 33626-3101
Phone: (813) 343-5500
Fax: (813) 343-5506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.000894 Ohio

Profile Details

NPI number 1003888538
LBN Legal business name Bromagen, Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 10th, 2009 - about 16 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 1003888538 NPPES
Florida MEDICAID 001193500

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