Individual
MARBYS BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1546 TRUMBULL ST, KISSIMMEE, FL 34744-4054
(720) 419-4390
Mailing address
1546 TRUMBULL ST, KISSIMMEE, FL 34744-4054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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