Dr. Rolando Manuel Branly, MBBS, Sc.D.
General Practice in Davie, FL. Individual provider (NPI-1).
NPI number1669930558
StatusActive
Last updated in NPPESApr 21, 2020
Details
- NPI
- 1669930558
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rolando Manuel Branly
- Credential
- MBBS, Sc.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2019
- Certification date
- Apr 21, 2020
- Last updated
- Apr 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 35874 | OK | Yes |
| 246QH0600X | Spec/Tech, Pathology, Histology | HSE27982 | FL |
Practice location
4201 Sw 67th TerDavie, FL 33314-3227
Phone 954-604-9705
Mailing address
4201 Sw 67th TerDavie, FL 33314-3227
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