Provider Demographics
NPI:1669428082
Name:BRAUN, MICHAEL J (MD AND CARDIOLOGY)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:BRAUN
Suffix:
Gender:M
Credentials:MD AND CARDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18205 BISCAYNE BLVD #2214
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2148
Mailing Address - Country:US
Mailing Address - Phone:305-742-0713
Mailing Address - Fax:305-682-8623
Practice Address - Street 1:18205 BISCAYNE BLVD #2214
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2148
Practice Address - Country:US
Practice Address - Phone:305-742-0713
Practice Address - Fax:305-682-8623
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 66689207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280353400Medicaid
FL27268RMedicare PIN
FLG08176Medicare UPIN
FL27268QMedicare PIN
FL280353400Medicaid
FL27268PMedicare PIN