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Contact Information

DAVID M BRACCIANO SR, DO
8430 COOPER CREEK BLVD
SUITE 102
UNIVERSITY PARK, FL34201-2016
 Phone: 941-360-2255
 Fax: 941-487-1777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DAVID M BRACCIANO SR · (Male)

NPI # 1013970870
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/11/2006
Last updated 08/14/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS 7345
  • MI Medicaid 112939371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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