Provider Demographics
NPI:1184672123
Name:BRAVER, HOWARD MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:MICHAEL
Last Name:BRAVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 WASHINGTON ST
Mailing Address - Street 2:STE 200
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8249
Mailing Address - Country:US
Mailing Address - Phone:305-466-0663
Mailing Address - Fax:305-466-9537
Practice Address - Street 1:3700 WASHINGTON ST STE 200
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8249
Practice Address - Country:US
Practice Address - Phone:954-894-3003
Practice Address - Fax:954-894-3323
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61028207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL134230092OtherVISTA HEALTH PLAN
FL225479OtherAVMED
FL252630100Medicaid
FL650933425AOtherHUMANA
FL021759OtherNEIGHBORHOOD HEALTH
FL32659OtherBLUE CROSS BLUE SHIELD
FL4798210001OtherMEDICARE DME
FLG39633Medicare UPIN
FL252630100Medicaid