Edgard Bragado
Individual provider Active NPI Physical Therapist · Heathrow, FL
NPI 1437301249 · NPPES record last updated Oct 13, 2008
Key facts
- NPI
- 1437301249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9935 (NC)
- Practice address
- 1485 International Pkwy
Heathrow, FL 32746-5303 - Phone
- (800) 798-6035
- NPI assigned
- Oct 13, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9935 | NC | Yes |
Addresses
Primary practice location
1485 International Pkwy
Heathrow, FL 32746-5303
Mailing address
1485 International Pkwy
Heathrow, FL 32746-5303
Phone (800) 798-6035
Other providers in Heathrow, FL
- Danny Dee Bingaman
- Joy Bishop
- Kehoga Blanchard
- Brenda Ann Blevins
- Teronna Bosserman
- Carleen Sue Braunns
- Scott Earl Brewer
- Danette Brimigion
- Christal Brown
- Brenda Kay Bryant
All providers in Heathrow, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.