# BRAVO SUPPORT SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801549969
- **Authorized official:** ASHLEY MITCHELL (PRESIDENT)
- **Authorized official phone:** (239) 839-1512

## Contact information

- **Practice address:** 11553 PLANTATION PRESERVE CIR S, FORT MYERS, FL 33966-8370
- **Practice address phone:** (239) 839-1512
- **Mailing address:** 11553 PLANTATION PRESERVE CIR S, FORT MYERS, FL 33966-8370
- **Mailing address phone:** (239) 839-1512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2022
- **Last updated:** 01/29/2022