Bravo Health Care Center | |
1440 79th Street Cswy Suite #1400 North Bay Village FL 33141-4188 | |
(305) 763-8573 | |
(305) 763-8574 |
Full Name | Bravo Health Care Center |
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Speciality | Family Medicine |
Location | 1440 79th Street Cswy, North Bay Village, Florida |
Authorized Official Name and Position | Patricia Bravo (DIRECTOR) |
Authorized Official Contact | 3057638573 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bravo Health Care Center 1440 79th Street Cswy Suite #1400 North Bay Village FL 33141-4188 Ph: (305) 763-8573 | Bravo Health Care Center 1440 79th Street Cswy Suite #1400 North Bay Village FL 33141-4188 Ph: (305) 763-8573 |
NPI Number | 1235463654 |
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Provider Enumeration Date | 10/01/2009 |
Last Update Date | 06/10/2012 |
Medicare PECOS PAC ID | 1355476219 |
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Medicare Enrollment ID | O20100317000238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235463654 | NPI | - | NPPES |
1235463654 | Other | FL | NPI |
267682600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME 91464 (Florida) | Secondary |
Provider Name | Patricia Bravo |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013938810 PECOS PAC ID: 0143254110 Enrollment ID: I20050920000956 |
Cyl Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 79th Street Cswy, Suite 102, North Bay Village, FL 33141 Phone: 305-866-5880 Fax: 305-866-9441 | |
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Garibaldi Consulting, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1865 79th Street Cswy, North Bay Village, FL 33141 Phone: 504-371-2455 | |
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Hope Of Life Medical Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 79th Street Cswy, Suite 1406, North Bay Village, FL 33141 Phone: 305-877-9483 |