Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME0073343 | FL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME0073343 | FL |
NPI | 1104868744 |
---|---|
Provider Name | Dr. Brandon J Luskin |
First Address | Boynton Beach, FL 33435-7944 |
Second Address | Boynton Beach, FL 33435-7944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 27/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G40818 | (02) | FL |