Floresita B Bravo Edora, MD is a
General Practice physician based in Harrisville, West Virginia. Floresita B Bravo Edora is licensed to practice in West Virginia (license number 12375) and her current practice location is 135 South Penn Avenue, Harrisville, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 643-4005.
NPI number for Floresita B Bravo Edora is 1407864465 and her current mailing address is Po Box 373, 135 South Penn Avenue, Harrisville, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407864465.
Physician's Profile
| Full Name | Floresita B Bravo Edora |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 135 South Penn Avenue, Harrisville, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407864465
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 05/15/2008
Medical Identifiers
Medical identifiers for Floresita B Bravo Edora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407864465 | NPI | - | NPPES |
| 0050558000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 12375 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Floresita B Bravo Edora is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Floresita B Bravo Edora, MD
Po Box 373, 135 South Penn Avenue,
Harrisville, WV 26362-0373
Ph: (304) 643-4005 | Floresita B Bravo Edora, MD
135 South Penn Avenue,
Harrisville, WV 26362-0373
Ph: (304) 643-4005 |
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