BRANDON S BRADDOCK

PULMONARY ASSOCIATES OF ST

Dr BRANDON S BRADDOCK is a male medical professional, specializing in Physician Assistant. He graduated in 2015.

Contact

PULMONARY ASSOCIATES OF ST

300 HEALTH PARK BLVD
SUITE 4000
SAINT AUGUSTINE
FL
320863704

Tel: 9048248666

BRANDON S BRADDOCK Information

Npi 1336536697
Pac Id 0840504890
Professional Enrollment Id I20150804004816
Last Name BRADDOCK
First Name BRANDON
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PULMONARY ASSOCIATES OF ST
Group Practice Pac Id 0749240018
Number Of Group Practice Members 9
Line 1 Street Address 300 HEALTH PARK BLVD
Line 2 Street Address SUITE 4000
Marker Of Address Line 2 Suppression
City SAINT AUGUSTINE
State FL
Zip Code 320863704
Phone Number 9048248666
Hospital Affiliation Ccn 1 100090
Hospital Affiliation Lbn 1 FLAGLER HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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