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Connor Bracy
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1023643244

Connor Bracy is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Connor Bracy practices in Tampa, FL. The NPI Number for Connor Bracy is 1023643244 and holds a License No. (Florida).

The current practice location address for Connor Bracy is 3220 W Lawn Ave, Tampa, FL and can be reached out via phone at 813-909-3656.

Location: 3220 W Lawn Ave, Tampa, FL, 33611-1929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023643244
Provider Name
Connor Bracy
Credential
Provider Entity Type
Individual
Gender
Male
Address
3220 W Lawn Ave, Tampa, FL, 33611-1929
Phone Number
813-909-3656
Fax Number
Provider Enumeration Date
03/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3220 W Lawn Ave
City
Tampa
State
Florida
Zip
33611-1929
Phone Number
813-909-3656
Fax Number
person
Provider Business Mailing Address Details
Address
3220 W Lawn Ave
City
Tampa
State
Florida
Zip
33611-1929
Phone Number
813-909-3656
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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