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Individual

DR. ROSE BRAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6801 US HIGHWAY 27 N, SUITE B-4, SEBRING, FL 33870-7840
(863) 314-8440
(863) 314-0845
Mailing address
2120 N SHAMROCK RD, AVON PARK, FL 33825-9428
(863) 257-0775
(863) 452-0820

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 916122
FL

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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