Organization
FLORIDA FAMILY PRIMARY CARE CENTERS OF PINELLAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO 'BUTCH' BRAVO (CEO)
(305) 905-1399
Entity
Organization
Contact information
Practice address
6245 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 873-3891
(727) 873-3892
Mailing address
6245 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 873-3891
(727) 873-3892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/25/2014
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