Organization
ROY Z BRAUNSTEIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY Z BRAUNSTEIN MD (OWNER)
(863) 676-7624
Entity
Organization
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
ME0042087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN3581
RAILROAD MEDICARE
FL
Enumeration date
10/19/2005
Last updated
10/19/2015
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