Provider Demographics
NPI:1730441841
Name:BRAFMAN, AARON FABIAN (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:FABIAN
Last Name:BRAFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2160 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1410
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:1725 N UNIVERSITY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6089
Practice Address - Country:US
Practice Address - Phone:954-752-3166
Practice Address - Fax:954-753-5628
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN17949208800000X
FLME131193208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIZ315ZOtherMEDICARE
FL1450479OtherWELLCARE-MEDICARE ONLY
FLQMP000005330953OtherMOLINA
FL1127904OtherCIGNA
FL405055OtherAVMED
FL020838700Medicaid
FL15006OtherDIMENSION HEALTH