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Organization

BRAVO WELLCARE NETWORK, LLC

Active
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Organization

BRAVO WELLCARE NETWORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA BRAVO MATOS PMHNP (OWNER)
(305) 988-1936
Entity
Organization

Contact information

Practice address
7950 NW 53RD STREET, SUITE 337 #1007, DORAL, FL 33166
(305) 988-1936
Mailing address
7950 NW 53RD STREET, SUITE 337 #1007, DORAL, FL 33166
(305) 988-1936

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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