Organization
PATRICIA BRAVO M.D,P.A
Active
Other names
Bravo Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA BRAVO MD (DIRECTOR)
(305) 763-8573
Entity
Organization
Contact information
Practice address
1440 79TH STREET CSWY, SUITE #1400, NORTH BAY VILLAGE, FL 33141-4188
(305) 763-8573
(305) 763-8574
Mailing address
1440 79TH STREET CSWY, SUITE #1400, NORTH BAY VILLAGE, FL 33141-4188
(305) 763-8573
(305) 763-8574
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
ME 91464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235463654
NPI
FL
05
—
267682600
—
FL
Enumeration date
10/01/2009
Last updated
06/10/2012
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