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NPI Code Detail

MEDICARE: DR. PAUL JAMES O BRAONAIN MD

MEDICARE: DR. PAUL JAMES O BRAONAIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician049720CT
2207Q00000XFamily Medicine Physician227390MA
3207Q00000XFamily Medicine PhysicianME154133FL

General Provider Information

NPI Number : 1023013182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL JAMES O BRAONAIN MD
Provider Business Mailing Address
First Line : 3250 ZEMKE AVE
Second Line :
City : TAMPA
State : FL
Zip : 33621-5023
Country : US
Telephone Number : 813-827-9548
Fax Number : 203-327-2991
Provider Business Practice Location Address
First Line : 3250 ZEMKE AVE
Second Line :
City : TAMPA
State : FL
Zip : 33621-5023
Country : US
Telephone Number : 813-827-9548
Fax Number : 203-327-2991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/21/2021

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Directions to “ DR. PAUL JAMES O BRAONAIN MD” Practice Location

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