MEDICARE: GORDON J BRAUN DC PA

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	111N00000X	Chiropractor	CH 8403	FL

General Provider Information

NPI Number	:	1124236625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GORDON J BRAUN DC PA

Provider Business Mailing Address
First Line	:	1175 71ST STREET
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3645
Country	:	US
Telephone Number	:	305-864-1419
Fax Number	:	305-861-7246

Provider Business Practice Location Address
First Line	:	1175 71ST ST
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3645
Country	:	US
Telephone Number	:	305-864-1419
Fax Number	:	305-861-7246

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GORDON JAY BRAUN
Credential	:	D.C.
Telephone Number	:	305-864-1419

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	08/27/2008

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