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Organization
PATRICIA BRAVO M.D,P.A
Active
Organization
PATRICIA BRAVO M.D,P.A
Active
Other names
Bravo Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA BRAVO MD (DIRECTOR)
(305) 763-8573
Entity
Organization
Contact information
Practice address
1440 79TH STREET CSWY, SUITE #1400, NORTH BAY VILLAGE, FL 33141-4188
(305) 763-8573
(305) 763-8574
Mailing address
1440 79TH STREET CSWY, SUITE #1400, NORTH BAY VILLAGE, FL 33141-4188
(305) 763-8573
(305) 763-8574
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
ME 91464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235463654
NPI
FL
05
—
267682600
—
FL
Enumeration date
10/01/2009
Last updated
06/10/2012
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