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NPI Code Detail

MEDICARE: CAREY BRAGA

MEDICARE:   CAREY  BRAGA
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
1235Z00000XSpeech-Language PathologistSA5080FL

General Provider Information

NPI Number : 1992286983
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREY BRAGA
Provider Business Mailing Address
First Line : 1002 PINE LAKE CIR
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-4519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 315 S FLAGLER DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5613
Country : US
Telephone Number : 561-655-8544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 08/27/2018

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Directions to “ CAREY BRAGA ” Practice Location

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