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Individual

DR. ROLANDO MANUEL BRANLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBBS, SC.D.

Contact information

Practice address
4201 SW 67TH TER, DAVIE, FL 33314-3227
(954) 604-9705
Mailing address
4201 SW 67TH TER, DAVIE, FL 33314-3227

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35874
OK
246QH0600X
Histology Specialist/Technologist
HSE27982
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27982
REGISTRATION NUMBER
FL
Enumeration date
03/09/2019
Last updated
04/21/2020
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