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Individual

DR. RICHARD LEE BRAITHWAITE

Active
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Individual

DR. RICHARD LEE BRAITHWAITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME90496
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636
BCBS
FL
01
—
1730107509
TRICARE
FL
05
—
275120800
—
FL
01
—
P01348388
RAILROAD
FL
Enumeration date
07/18/2006
Last updated
02/22/2016
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