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Individual

DR. EDWARD S BRANIGAN III

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
70 ROYAL PALM PT, SUITE A, VERO BEACH, FL 32960-5200
(772) 569-6600
(772) 569-5341
Mailing address
1250 LITTLE HARBOUR LN, VERO BEACH, FL 32963-2501
(772) 234-5940

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME19617
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71958
BLUE CROSS/BLUE SHIELD FL
FL
Enumeration date
05/30/2006
Last updated
07/08/2007
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