Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEAU BRADEN
Active Sole ProprietorBEAU BRADEN is a Emergency Medicine healthcare provider located in AVE MARIA, Florida. NPI 1902044985 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · AVE MARIA, FL
Registration Details
- NPI Number
- 1902044985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2009 (17.357079410912 yrs)
- Last Updated
- Nov 28, 2016
- Licenses
-
OS12519 (FL)OS12519 (FL)OS12519 (FL)OS12519 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5050 AVE MARIA BLVDAVE MARIA, FL, 341429505Browse FL providers · Browse ZIP 34142
- Phone
- 2398674395
- Fax
- 2392173662
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- General Practice
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.