DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. RICHARD LEE BRAITHWAITE M.D.

MEDICARE: DR. RICHARD LEE BRAITHWAITE M.D.
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
1208M00000XHospitalist PhysicianME90496FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11730107509OTHERFLTRICARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31730107509OTHERFLVHN
4P01348388OTHERFLRAILROAD
501636OTHERFLBCBS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730107509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD LEE BRAITHWAITE M.D.
Provider Business Mailing Address
First Line : P.O. BOX 9671
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32120-9671
Country : US
Telephone Number : 386-676-7130
Fax Number : 386-676-7125
Provider Business Practice Location Address
First Line : 1340 RIDGEWOOD AVE
Second Line :
City : HOLLY HILL
State : FL
Zip : 32117-2320
Country : US
Telephone Number : 386-676-7130
Fax Number : 386-676-7125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 02/22/2016

Similar Medicare Providers

1932102159 — JOHNSIE CAROL GRIGG M.D.
Practice Location Address:
1340 RIDGEWOOD AVE
HOLLY HILL, FL
32117-2320
Practice Phone: 386-676-7130
Practice Fax: 386-676-7125
1144217860 — FELICITAS G AGANA MD
Practice Location Address:
1340 RIDGEWOOD AVE
HOLLY HILL, FL
32117-2320
Practice Phone: 386-676-7100
Practice Fax:
1629045307 — MS. DIANE C HATCH PA-C
Practice Location Address:
1340 RIDGEWOOD AVE
HOLLY HILL, FL
32117-2320
Practice Phone: 386-676-7172
Practice Fax:
1922114909 — DR. JOYCE WRIGHT PHARM.D
Practice Location Address:
1340 RIDGEWOOD AVE
HOLLY HILL, FL
32117-2320
Practice Phone: 386-676-7120
Practice Fax: 386-676-7128
1750498192 — DR. JOSEPH ZUCKERMAN MD
Practice Location Address:
1340 RIDGEWOOD AVE
HOLLY HILL, FL
32117-2320
Practice Phone: 386-615-4087
Practice Fax: 386-615-4051
1477659845 — MRS. PHYLLIS W HOLLANDSWORTH LMFT
Practice Location Address:
1340 RIDGEWOOD AVE
HOLLY HILL, FL
32117-2320
Practice Phone: 386-676-7100
Practice Fax: 386-676-7125

Directions to “ DR. RICHARD LEE BRAITHWAITE M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.