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Individual

ROY Z BRAUNSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
749 STATE ROAD 60 E, LAKE WALES, FL 33853-4240
(863) 676-7624
(863) 678-0263
Mailing address
749 STATE ROAD 60 E, LAKE WALES, FL 33853-4240
(863) 676-7624
(863) 678-0263

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME42087
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180020219
RAILROAD MEDICARE
FL
Enumeration date
10/24/2007
Last updated
05/23/2024
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