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Organization

STANLEY D BRAVERMAN MD LLC

Active
Other names
BRAVERMAN EYE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY DEEMS BRAVERMAN MD, PA (OWNER)
(954) 458-2112
Entity
Organization

Contact information

Practice address
1050 N FEDERAL HWY, HOLLYWOOD, FL 33020-3540
(954) 458-2112
Mailing address
1935 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4708
(954) 458-2112
(954) 458-7186

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110198700
FL
Enumeration date
01/22/2007
Last updated
06/19/2024
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