Price, Braxton William
Price, Braxton William is an sole proprietor health care provider with primary practice located at 1411 Meadow View Way , Lady Lake FL 32159-2536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Price, Braxton William can be contacted via phone (352) 350-2883.Contact Information
Primary practice address
1411 Meadow View Way
Lady Lake FL 32159-2536
Phone: (352) 350-2883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME11805 | Florida |
Profile Details
| NPI number | 1114081965 |
|---|---|
| LBN Legal business name | Price, Braxton William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jun 14th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114081965 | NPPES |
| Florida | MEDICAID | 049348101 |
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