Individual
PATRICIA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1440 79 ST CSWY, SUITE 1400, NORTH BAY VILLAGE, FL 33141-4188
(305) 763-8573
(305) 763-8574
Mailing address
1440 79 ST CSWY, SUITE 1400, NORTH BAY VILLAGE, FL 33141-4188
(305) 763-8573
(305) 763-8574
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME91464
FL
208D00000X
General Practice Physician
Primary
ME 91464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267682600
—
FL
Enumeration date
07/21/2006
Last updated
03/31/2012
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