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Individual

DR. BRIAN ALEXANDER BRAITHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-7381
Mailing address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-7381

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125059899
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
49164
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME126263
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119982900
FL
Enumeration date
06/16/2011
Last updated
10/13/2023
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