Individual
JONATHAN WACHT BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(940) 642-5614
Mailing address
1326 16TH ST APT 2, MIAMI BEACH, FL 33139-2215
(940) 642-5614
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
189385
CA
207P00000X
Emergency Medicine Physician
ME144073
FL
208D00000X
General Practice Physician
ME144073
FL
Other
Enumeration date
03/20/2018
Last updated
11/19/2024
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