Individual
DR. BRAXTON WILLIAM PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 MEADOW VIEW WAY, LADY LAKE, FL 32159-2536
(352) 350-2883
Mailing address
1411 MEADOW VIEW WAY, LADY LAKE, FL 32159-2536
(352) 350-2883
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME11805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049348101
—
FL
Enumeration date
12/19/2006
Last updated
06/14/2011
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