Braithwaite, Brian Alexander

Braithwaite, Brian Alexander is an individual health care provider with primary practice located at 60 Columbia St Ste 400 , Orlando FL 32806-1115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Braithwaite, Brian Alexander can be contacted via phone (321) 843-5851.

Contact Information

Primary practice address
60 Columbia St Ste 400 Orlando FL 32806-1115
Fax: (321) 843-7381
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 125059899 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 49164 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME126263 Florida

Profile Details

NPI number 1992090138
LBN Legal business name Braithwaite, Brian Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Oct 13th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1992090138 NPPES
Florida MEDICAID 119982900

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