Individual
MR. SANDO COURAGE BRACEWELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
802 NW 13TH AVE, APT A, DANIA BEACH, FL 33004-2353
(267) 269-2827
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
25881222
PA
Other
Enumeration date
02/11/2012
Last updated
02/11/2012
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