Bravo S Mental Health Care Inc | |
2100 W 76th St Ste 209 Hialeah FL 33016-5503 | |
(786) 236-5408 | |
Not Available |
Full Name | Bravo S Mental Health Care Inc |
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Speciality | Clinic/Center |
Location | 2100 W 76th St Ste 209, Hialeah, Florida |
Authorized Official Name and Position | Rafael Bravo (PRESIDENT) |
Authorized Official Contact | 7862365408 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bravo S Mental Health Care Inc 2100 W 76th St Ste 209 Hialeah FL 33016-5503 Ph: () - | Bravo S Mental Health Care Inc 2100 W 76th St Ste 209 Hialeah FL 33016-5503 Ph: (786) 236-5408 |
NPI Number | 1972113470 |
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Provider Enumeration Date | 08/09/2020 |
Last Update Date | 05/17/2021 |
Certification Date | 05/17/2021 |
Medicare PECOS PAC ID | 0143629337 |
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Medicare Enrollment ID | O20210519003024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972113470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Armando Zabala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073504825 PECOS PAC ID: 4880684836 Enrollment ID: I20040513000411 |
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