Individual
MRS. CECILIA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3090 CARUSO CT STE 20, ORLANDO, FL 32806-8510
(321) 841-5236
Mailing address
3090 CARUSO CT STE 20, ORLANDO, FL 32806-8510
(321) 841-5236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PV258
MEDICARE HF
FL
Enumeration date
06/22/2020
Last updated
01/31/2023
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