# PATRICIA BRAVO M.D,P.A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bravo Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235463654
- **Authorized official:** DR. PATRICIA BRAVO MD (DIRECTOR)
- **Authorized official phone:** (305) 763-8573

## Contact information

- **Practice address:** 1440 79TH STREET CSWY, SUITE \#1400, NORTH BAY VILLAGE, FL 33141-4188
- **Practice address phone:** (305) 763-8573
- **Practice address fax:** (305) 763-8574
- **Mailing address:** 1440 79TH STREET CSWY, SUITE \#1400, NORTH BAY VILLAGE, FL 33141-4188
- **Mailing address phone:** (305) 763-8573
- **Mailing address fax:** (305) 763-8574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | ME 91464 | FL | — |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 06/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1235463654 | NPI | FL |
| 05 | — | 267682600 | — | FL |