Organization
BRAVO MD MEDICAL CENTER , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFREDO EDDY BRAVO MD (PRESIDENT)
(786) 409-3957
Entity
Organization
Contact information
Practice address
85 GRAND CANAL DR STE 101, MIAMI, FL 33144-2561
(786) 409-3957
Mailing address
85 GRAND CANAL DR STE 101, MIAMI, FL 33144-2561
(786) 409-3957
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME110036
FL
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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