PATRICIA BRAVO M.DP.A NPI 1235463654

NPI Information

PATRICIA BRAVO M.D,P.A is an adult medicine family medicine in North Bay Village, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PATRICIA BRAVO M.D,P.A NPI is 1235463654. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bravo Health Care Center.

The provider's business location address is:

1440 79TH STREET CSWY
SUITE #1400
NORTH BAY VILLAGE, FL
ZIP 33141-188
Phone: (305) 763-8573
Fax: (305) 763-8574

The provider's authorized official is Patricia Bravo .
The authorized official title is Director and has the following contact phone number (305) 763-8573.

The CLIA number assigned to this NPI record is 10D2040562 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2009 and was last updated on 6/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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