Individual
BRADEN VANDER WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7508
(941) 552-7605
Mailing address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7508
(941) 552-7605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME121191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013600900
—
FL
Enumeration date
05/04/2011
Last updated
04/24/2026
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