Individual
MS. JESSICA N. BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2200 RINGLING BLVD, SARASOTA, FL 34237-6102
(941) 861-2900
Mailing address
6410 KAHANA WAY, SARASOTA, FL 34241-5525
(941) 861-2900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00034785 00
—
FL
Enumeration date
02/28/2011
Last updated
05/25/2011
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