Organization
BRAVO WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PSHOCK (CEO/FOUNDER)
(877) 662-7286
Entity
Organization
Contact information
Practice address
20445 EMERALD PKWY STE 400, CLEVELAND, OH 44135-6010
(877) 662-7286
Mailing address
20445 EMERALD PKWY STE 400, CLEVELAND, OH 44135-6010
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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