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Individual

SARDUL S BRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
109 WEST WALL STREET, FROSTPROOF, FL 33843
(863) 635-4891
(863) 635-3545
Mailing address
950 CO RD 17A WEST, AVON PARK, FL 33825
(873) 452-3060
(863) 452-3069

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME48371
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049241800
FL
01
51277
BCBS FL
Enumeration date
07/18/2006
Last updated
05/21/2008
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