Latisha M Braboy (NPI# 1538310305, PAC ID# 9436132685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1538310305 |
| PAC ID by PECOS | 9436132685 |
| Professional Enrollment ID | I20040609001288 |
| Full Name | Latisha M Braboy |
| Organization Legal Name | AUTUMN WOOD INC |
| Address |
16564 Cruse St Detroit MI 48235-4003 |
| Phone Number | 3136335846 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5092946525 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16564 Cruse St, Detroit, MI 48235-4003 | 3136335846 | AUTUMN WOOD INC |
| Organization Legal Name | AUTUMN WOOD INC |
| Physicians | 1 |
| Street Address |
16564 CRUSE ST |
| City | DETROIT |
| State | MI |
| Zip | 48235-4003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yolanda Y Latham | Nurse Practitioner | Park Family Health Care, P.C. | 12703 W Seven Mile Rd, Detroit, MI 48235-1302 |
| James S Gentile | Physician Assistant | City Urgent Care PC | 13403 W 7 Mile Rd, Detroit Urgent Care, Detroit, MI 48235-1387 |
| Gurneet Kaur | Physical Therapy | 19915 James Couzens Fwy, Detroit, MI 48235-1840 | |
| Edward A Clay | Gastroenterology | Edward A Clay Md PC | 20001 Greenfield, Suite 6, Detroit, MI 48235-1870 |
| Herman J Glass Ii | Chiropractic | 17301 W 8 Mile Rd, Detroit, MI 48235-2141 | |
| Cynthia C Griggs | Nephrology | 18455 James Couzens Fwy, Detroit, MI 48235-2506 | |
| Anthony D Spearman | Internal Medicine | 18276 Stansbury St, Detroit, MI 48235-2524 | |
| Salvatore Cavaliere | Otolaryngology | 6071 W Outer Dr Fl, 7 Select Speciality Hospital, Detroit, MI 48235-2624 | |
| Violet Onkoba | General Surgery | United Critical Care Plc | 6071 W Outer Dr, Detroit, MI 48235-2624 |
| Sulaiman Alhassan | Internal Medicine | John Haapaniemiand Barry Lesser Ptr,haapaniemi Lesser Associated | 6071 W Outer Dr, Detroit, MI 48235-2624 |
| Find all physicians in zip 48235 | |||
| City | DETROIT |
| Zip Code | 48235 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | DETROIT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Latisha M Braboy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.