MEDICARE: DR. ANDREW STUART BRAUNSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	0046852	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1700088	OTHER	UNITED HEALTHCARE
2	2114362	OTHER	AETNA
3	205182	OTHER	AV MED
4	4075031	OTHER	AETNA
5	0759493012	OTHER	CIGNA
6	08443	OTHER	BCBS

General Provider Information

NPI Number	:	1235122565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW STUART BRAUNSTEIN MD

Provider Business Mailing Address
First Line	:	661 E ALTAMONTE DR
Second Line	:	SUITE 216
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5102
Country	:	US
Telephone Number	:	407-339-4324
Fax Number	:	407-339-3843

Provider Business Practice Location Address
First Line	:	661 E ALTAMONTE DR
Second Line	:	SUITE 216
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5102
Country	:	US
Telephone Number	:	407-339-4324
Fax Number	:	407-339-3843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	03/25/2010

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Directions to “ DR. ANDREW STUART BRAUNSTEIN MD” Practice Location

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