Organization
BRAVANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEOPHILUS TORGBOR SAI MD (OWNER)
(813) 600-9981
Entity
Organization
Contact information
Practice address
8250 BRYAN DAIRY RD STE 305, LARGO, FL 33777-1360
(727) 391-5008
Mailing address
3218 W HORATIO ST, TAMPA, FL 33609-3028
(813) 600-9981
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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