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NPI 1558120865

NPI 1558120865 : BRAXTON MCFARLAND MD : ODESSA, FL

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General NPI Number Information
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    NPI Number           |    1558120865
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    Entity Type          |    Individual 
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    Provider Name        |    BRAXTON MCFARLAND MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/18/2024
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    15985 PRESERVE MARKETPLACE BLVD # 241 
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    City                 |    ODESSA
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    State                |    FL
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    Zip                  |    33556-5509
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    Country              |    US
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    Telephone            |    727-819-2929
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15985 PRESERVE MARKETPLACE BLVD # 241 
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    City                 |    ODESSA
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    State                |    FL
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    Zip                  |    33556-5509
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    Country              |    US
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    Telephone            |    813-649-3339
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    4301515180
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    ME175366
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    License Number State |    FL
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