Individual
MR. LOVELL BRASWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3706 NW 122ND TER, SUNRISE, FL 33323-3319
(954) 599-3783
Mailing address
PO BOX 451466, SUNRISE, FL 33345-1466
(954) 557-7355
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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