# STANLEY D BRAVERMAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRAVERMAN EYE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265586127
- **Authorized official:** DR. STANLEY DEEMS BRAVERMAN MD, PA (OWNER)
- **Authorized official phone:** (954) 458-2112

## Contact information

- **Practice address:** 1050 N FEDERAL HWY, HOLLYWOOD, FL 33020-3540
- **Practice address phone:** (954) 458-2112
- **Mailing address:** 1935 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4708
- **Mailing address phone:** (954) 458-2112
- **Mailing address fax:** (954) 458-7186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 06/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110198700 | — | FL |