Individual
CARLOS BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
661 SE 15TH ST APT 101, DANIA BEACH, FL 33004-5374
(786) 660-0350
Mailing address
661 SE 15TH ST APT 101, DANIA BEACH, FL 33004-5374
(786) 660-0350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
07/17/2020
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