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NPI Code Detail

MEDICARE: DR. EMILY J BRAUER M.D.

MEDICARE: DR. EMILY J BRAUER 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
1207P00000XEmergency Medicine Physician4301089724MI
2207P00000XEmergency Medicine PhysicianME130854FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912103060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY J BRAUER M.D.
Provider Business Mailing Address
First Line : 1408 NE 27TH DR
Second Line :
City : WILTON MANORS
State : FL
Zip : 33334-4351
Country : US
Telephone Number : 217-840-6656
Fax Number :
Provider Business Practice Location Address
First Line : 4725 N FEDERAL HWY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4668
Country : US
Telephone Number : 954-778-4810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 08/18/2021

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