Provider Demographics
NPI:1821060518
Name:BRAMANTE, JOSEPH L JR (DPM)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:BRAMANTE
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 S BENEVA RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2476
Mailing Address - Country:US
Mailing Address - Phone:941-316-0133
Mailing Address - Fax:941-957-3641
Practice Address - Street 1:943 S BENEVA RD
Practice Address - Street 2:SUITE 113
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2476
Practice Address - Country:US
Practice Address - Phone:941-316-0133
Practice Address - Fax:941-957-3641
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2976213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T59841Medicare UPIN
FL65744ZMedicare PIN