Lovell Braswell Jr.
Driver in Sunrise, FL. Individual provider (NPI-1).
NPI number1164035887
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1164035887
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lovell Braswell Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
3706 Nw 122nd TerSunrise, FL 33323-3319
Phone 954-599-3783
Mailing address
Po Box 451466Sunrise, FL 33345-1466
Phone 954-557-7355
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