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Individual

DR. BRIAN SCOTT RAITZIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
175 SW 7TH ST STE 1511, MIAMI, FL 33130-2955
(305) 454-5946
(305) 433-3855
Mailing address
3868 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3623
(954) 962-2309
(954) 842-4590

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME168294
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124320000
FL
Enumeration date
04/02/2018
Last updated
04/10/2026
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