Organization
BRAVO WELLCARE NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BRAVO MATOS PMHNP (OWNER)
(305) 988-1936
Entity
Organization
Contact information
Practice address
7950 NW 53RD STREET, SUITE 337 #1007, DORAL, FL 33166
(305) 988-1936
Mailing address
7950 NW 53RD STREET, SUITE 337 #1007, DORAL, FL 33166
(305) 988-1936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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