Individual
DR. RICHARD W BRANSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10284 NW 47TH STREET, SUNRISE, FL 33351-7967
(954) 578-3730
(954) 575-0000
Mailing address
10284 NW 47TH STREET, SUNRISE, FL 33351-7967
(954) 578-3730
(954) 575-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078815500
—
FL
Enumeration date
06/16/2006
Last updated
12/17/2010
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