Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 9274102 | FL |
NPI | 1114427473 |
---|---|
Provider Name | Mrs. Rebecca Branas |
First Address | Miami Beach, FL 33140-2899 |
Second Address | Miami Beach, FL 33140-2899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2018 |
Last Update Date | 13/02/2018 |