Braudway, Sonya
Braudway, Sonya is an individual health care provider with primary practice located at 250 Avenue K Sw Suite 200, Winter Haven FL 33880-3914. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Braudway, Sonya can be contacted via phone (863) 297-5400.Contact Information
Primary practice address
250 Avenue K Sw Suite 200
Winter Haven FL 33880-3914
Phone: (863) 297-5400
Fax: (863) 293-8230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2743 | Florida |
Profile Details
| NPI number | 1043282387 |
|---|---|
| LBN Legal business name | Braudway, Sonya |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 7th, 2010 - 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 | 1043282387 | NPPES |
| Florida | MEDICAID | 620484800 |
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