Provider Demographics
NPI:1457578148
Name:BRAITHWAITE, REYNOLD SYLVESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:REYNOLD SYLVESTER
Middle Name:
Last Name:BRAITHWAITE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 S OCEAN DR STE 2201
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2801
Mailing Address - Country:US
Mailing Address - Phone:954-347-0070
Mailing Address - Fax:305-947-0061
Practice Address - Street 1:16876 NE 19TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3108
Practice Address - Country:US
Practice Address - Phone:305-895-5555
Practice Address - Fax:305-947-0061
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME062140207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology