Individual
DR. IRENE MARIA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8550 W FLAGLER ST, MIAMI, FL 33144-2037
(305) 708-7333
Mailing address
6512 SW 107TH CT, MIAMI, FL 33173-2053
(305) 271-0595
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6305
FL
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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