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Organization
STANLEY D BRAVERMAN MD LLC
Active
Organization
STANLEY D BRAVERMAN MD LLC
Active
Other names
BRAVERMAN EYE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY DEEMS BRAVERMAN MD, PA (OWNER)
(954) 458-2112
Entity
Organization
Contact information
Practice address
1050 N FEDERAL HWY, HOLLYWOOD, FL 33020-3540
(954) 458-2112
Mailing address
1935 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4708
(954) 458-2112
(954) 458-7186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110198700
—
FL
Enumeration date
01/22/2007
Last updated
06/19/2024
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