Provider Demographics
NPI:1225032105
Name:BRAVER, BETH ROBYN (MD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ROBYN
Last Name:BRAVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BETH
Other - Middle Name:ROBYN
Other - Last Name:EHRLICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:20950 NE 27TH CT STE 200
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1232
Mailing Address - Country:US
Mailing Address - Phone:305-466-0663
Mailing Address - Fax:305-466-9537
Practice Address - Street 1:20950 NE 27TH CT STE 200
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-466-0663
Practice Address - Fax:305-466-9537
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65948207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15113OtherAETNA
FL26895OtherBLUE CROSS BLUE SHIELD
FL0478107OtherUNITED HEALTH CARE
FL0694691OtherCIGNA
FL213626OtherAMERIGROUP
FL107242OtherHUMANA
FL209741OtherAVMED
FL31364OtherVISTA
FL45631OtherNEIGHBORHOOD HEALTH
FL45631OtherNEIGHBORHOOD HEALTH
FL26895BMedicare PIN