Provider Demographics
NPI:1942375936
Name:PASQUAL BRACERO, M.D., P.A.
Entity Type:Organization
Organization Name:PASQUAL BRACERO, M.D., P.A.
Other - Org Name:ORLANDO CENTER FOR WOMEN'S HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PASQUAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-380-0302
Mailing Address - Street 1:2711 N ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-1373
Mailing Address - Country:US
Mailing Address - Phone:407-380-0302
Mailing Address - Fax:407-870-9660
Practice Address - Street 1:2711 N ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1373
Practice Address - Country:US
Practice Address - Phone:407-380-0302
Practice Address - Fax:407-870-9660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL384751OtherBCBS GRP # ORLANDO OFFICE
FL2446154OtherAETNA HMO GROUP NUMBER
CT38471AOtherBCBS GRP # KISSIMMEE OFC
FL4425436OtherAETNA PPO GROUP NUMBER
FL4425436OtherAETNA PPO GROUP NUMBER