| Brave Health Medical Group, P.c. | |
|
1951 Nw 7th Ave Fl 3 Miami FL 33136-1112 | |
| (305) 902-6347 | |
| (727) 306-8033 |
| Full Name | Brave Health Medical Group, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1951 Nw 7th Ave Fl 3, Miami, Florida |
| Authorized Official Name and Position | Anna Lindow (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3059026347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Health Medical Group, P.c. 1951 Nw 7th Ave Fl 3 Miami FL 33136-1104 Ph: (305) 902-6347 | Brave Health Medical Group, P.c. 1951 Nw 7th Ave Fl 3 Miami FL 33136-1112 Ph: (305) 902-6347 |
| NPI Number | 1225669161 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 9537586052 |
|---|---|
| Medicare Enrollment ID | O20200828002827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225669161 | NPI | - | NPPES |
| Provider Name | Kimberly Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528481777 PECOS PAC ID: 0143633107 Enrollment ID: I20210112000978 |
| Provider Name | Sherri Lee Newkirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356328702 PECOS PAC ID: 4486051547 Enrollment ID: I20210916002203 |
| Provider Name | Anthea M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235575937 PECOS PAC ID: 8628414927 Enrollment ID: I20240308002274 |
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