# ROY Z BRAUNSTEIN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487643649
- **Authorized official:** ROY Z BRAUNSTEIN MD (OWNER)
- **Authorized official phone:** (863) 676-7624

## Contact information

- **Practice address:** 749 STATE ROAD 60 E, LAKE WALES, FL 33853-4240
- **Practice address phone:** (863) 676-7624
- **Practice address fax:** (863) 678-0263
- **Mailing address:** 749 STATE ROAD 60 E, LAKE WALES, FL 33853-4240
- **Mailing address phone:** (863) 676-7624
- **Mailing address fax:** (863) 678-0263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0042087 | FL | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 10/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CN3581 | RAILROAD MEDICARE | FL |