Healthcare Provider Details

I. General information

NPI: 1730488396
Provider Name (Legal Business Name): BRACKEN ABRAM ARMSTRONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TAMPA GENERAL CIRCLE TGH C/O TRAUMA ADMINISTRATION / SUITE G-417
TAMPA FL
33606
US

IV. Provider business mailing address

1 TAMPA GENERAL CIRCLE TGH C/O TRAUMA ADMINISTRATION / SUITE G-417
TAMPA FL
33606
US

V. Phone/Fax

Practice location:
  • Phone: 813-844-7968
  • Fax: 813-844-4049
Mailing address:
  • Phone: 813-844-7968
  • Fax: 813-844-4049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME164103
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberME164103
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME164103
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: