| Doctor Name: | DR. BRAXTON WILLIAM PRICE |
| NPI Number: | 1114081965 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME11805 |
| Business Practice Address: | 1411 Meadow View Way Lady Lake, FL - 321592536 |
| Business Phone Number: | 3523502883 |
| Business Fax Number: | |
| Mailing Address: | 1411 Meadow View Way, LADY LAKE |
| State: | FL |
| Postal Code: | 321592536 |
| Phone Number: | 3523502883 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 06/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | ME11805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |