Organization
LIFEMED GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON JAY BRAUN DC (AO / OWNER)
(305) 674-9321
Entity
Organization
Contact information
Practice address
2555 COLLINS AVE STE C4, MIAMI BEACH, FL 33140-4723
(305) 674-9321
Mailing address
2555 COLLINS AVE STE C4, MIAMI BEACH, FL 33140-4723
(305) 674-9321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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