FLORESITA B BRAVO EDORA MD NPI 1407864465

NPI Information

NPI: 1407864465
Provider Name: FLORESITA B BRAVO EDORA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
135 SOUTH PENN AVENUE
HARRISVILLE, WV
ZIP 26362
Phone: (304) 643-4005
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Floresita B Bravo Edora, MD is a general practice in Harrisville, WV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Floresita B Bravo Edora, MD NPI is 1407864465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

135 SOUTH PENN AVENUE
HARRISVILLE, WV
ZIP 26362-373
Phone: (304) 643-4005
Fax: (304) 643-4007

The enumeration date for this NPI number is 8/4/2006 and was last updated on 5/15/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		12375	WEST VIRGINIA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B42623	MEDICARE UPIN
2	ED0813967	MEDICARE PIN
3	0050558000	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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