Individual
BRAULIO MARIANO MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1017 N OLIVE AVE, WEST PALM BEACH, FL 33401-3511
(561) 833-7553
Mailing address
MQ10 PLAZA 37, URB. MONTE CLARO, BAYAMON, PR 00961-3577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28999-R
PR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME129359
FL
208M00000X
Hospitalist Physician
2018001274
MO
Other
Enumeration date
09/07/2011
Last updated
10/01/2019
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