Braden, Beau

Braden, Beau is an sole proprietor health care provider with primary practice located at 5050 Ave Maria Blvd , Ave Maria FL 34142-9505. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Braden, Beau can be contacted via phone (239) 867-4395.

Contact Information

Primary practice address
5050 Ave Maria Blvd Ave Maria FL 34142-9505
Phone: (239) 867-4395
Fax: (239) 217-3662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X OS12519 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS12519 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS12519 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X OS12519 Florida

Profile Details

NPI number 1902044985
LBN Legal business name Braden, Beau
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2009
Last updated Nov 28th, 2016 - about 8 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.

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