Individual
DR. ELENA FRAUKE BRACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-7284
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-7284
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME165832
FL
207ZP0101X
Anatomic Pathology Physician
Primary
ME165832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037831
—
MA
01
—
468837
TUFTS HEALTH PLAN
MA
01
—
J27204
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
04/03/2024
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