Individual
DR. BRANDON WILLIAM CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
640 N FEDERAL HWY, FORT LAUDERDALE, FL 33304-4686
(954) 522-3918
(954) 522-5137
Mailing address
640 N FEDERAL HWY, FORT LAUDERDALE, FL 33304-4686
(954) 522-3918
(954) 522-5137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC004217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6212671 00
—
FL
Enumeration date
08/13/2007
Last updated
09/10/2015
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