Individual
STEPHEN M. BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9350 TURKEY LAKE RD, ORLANDO, FL 32819-7319
(407) 363-2772
(407) 745-2844
Mailing address
PO BOX 690909, ORLANDO, FL 32869-0909
(407) 363-2772
(407) 745-2844
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
216768
NY
2085R0202X
Diagnostic Radiology Physician
MD23939
ME
2085R0202X
Diagnostic Radiology Physician
Primary
ME83499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225011281
—
ME
05
—
267291000
—
FL
01
—
80038
BC BS OF FLORIDA
FL
Enumeration date
11/23/2005
Last updated
10/17/2024
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