| Bravado Medical Group Inc | |
|
1300 Nw 17th Ave Ste 160 Delray Beach FL 33445-2554 | |
| (561) 704-6781 | |
| Not Available |
| Full Name | Bravado Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1300 Nw 17th Ave Ste 160, Delray Beach, Florida |
| Authorized Official Name and Position | Randy Herfield (CEO) |
| Authorized Official Contact | 5617046781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravado Medical Group Inc 7601 N Federal Hwy Ste 245a Boca Raton FL 33487-1672 Ph: (561) 704-6781 | Bravado Medical Group Inc 1300 Nw 17th Ave Ste 160 Delray Beach FL 33445-2554 Ph: (561) 704-6781 |
| NPI Number | 1841919032 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841919032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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