BRIAN A BRAITHWAITE
Medical Practice at Hood St, Dallas, TX

License number
Florida 126263
Issued Date
Nov 24, 2015
Effective Date
Nov 24, 2015
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address 2
2728 Hood St APT #230, Dallas, TX 75219
16876 NE 19Th Ave, Miami, FL 33162
Phone
(507) 250-6278
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about BRIAN A BRAITHWAITE at bizstanding.com

BRIAN A. BRAITHWAITE, M.D., J.D., PA

16876 NE 19 Ave, Miami, FL 33162

Registration:
Jun 9, 2014
State ID:
P14000050634
Business type:
Florida Profit Corporation
President:
Brian A Braithwaite (President), 16876 NE 19 Ave, Miami, FL 33162 (Physical)
Agent:
Brian Braithwaite,16876 NE 19 Ave, Miami, FL 33162 (Physical)
EIN:
47-1053899

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