MEDICARE: DALE G BRAMLET 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
1	207XS0106X	Orthopaedic Hand Surgery Physician	ME53164	FL

General Provider Information

NPI Number	:	1467426726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALE G BRAMLET MD

Provider Business Mailing Address
First Line	:	4820 PARK BLVD N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3534
Country	:	US
Telephone Number	:	727-544-0320
Fax Number	:	727-209-6693

Provider Business Practice Location Address
First Line	:	4820 PARK BLVD N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3534
Country	:	US
Telephone Number	:	727-544-0320
Fax Number	:	727-209-6693

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	06/19/2015

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Directions to “ DALE G BRAMLET MD” Practice Location

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