Organization
JUAN O BRAVO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN O BRAVO MD (DOCTOR)
(863) 398-8362
Entity
Organization
Contact information
Practice address
170 FITZGERALD RD STE 1, LAKELAND, FL 33813-2633
(863) 701-2318
Mailing address
170 FITZGERALD RD STE 1, LAKELAND, FL 33813-2633
(863) 777-2736
(863) 777-2724
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME74194
FL
Other
Enumeration date
10/29/2007
Last updated
09/23/2024
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