Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edwin Alberto Bracho Boscan

Individual provider Surgical Assistant · NPI 1609675768

Edwin Alberto Bracho Boscan is a Surgical Assistant in Tampa, Florida. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone: (813) 558-8070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 16-316 (WI)

Record details

NPI number1609675768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address7171 N Dale Mabry Hwy, Tampa, FL 33614-2665

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