Bracero, Pasqual
Bracero, Pasqual is an individual health care provider with primary practice located at 12315 Lake Underhill Rd Ste A , Orlando FL 32828-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Bracero, Pasqual can be contacted via phone (407) 380-0302.Contact Information
Primary practice address
12315 Lake Underhill Rd Ste A
Orlando FL 32828-4507
Phone: (407) 380-0302
Fax: (407) 380-5127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | ME49965 | Florida |
Profile Details
| NPI number | 1003827809 |
|---|---|
| LBN Legal business name | Bracero, Pasqual |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 31st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003827809 | NPPES |
| Florida | Other | 205242 | AVMED |
| Florida | MEDICAID | 261-853-201 | AVMED |
| Florida | MEDICAID | 045-914-300 | AVMED |
| Florida | MEDICAID | 261-853-200 | AVMED |
| Florida | Other | OA173 | AVMED |
| Florida | Other | 2446154 | AVMED |
| Florida | Other | P1830864 | AVMED |
| Florida | Other | 38471 | AVMED |
| Florida | Other | 4278951 | AVMED |
| Florida | Other | 4425436 | AVMED |
| Florida | Other | 922260 | AVMED |
| Florida | Other | 03928 | AVMED |
| Florida | Other | 59-2873107 - D | AVMED |
| Florida | Other | 0700168 | AVMED |
| Florida | Other | 38471A | AVMED |
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