| Juan O Bravo | |
|
170 Fitzgerald Rd Ste 1 Lakeland FL 33813-2633 | |
| (863) 701-2318 | |
| Not Available |
| Full Name | Juan O Bravo |
|---|---|
| Speciality | General Practice |
| Location | 170 Fitzgerald Rd Ste 1, Lakeland, Florida |
| Authorized Official Name and Position | Juan O Bravo (DOCTOR) |
| Authorized Official Contact | 8633988362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan O Bravo 170 Fitzgerald Rd Ste 1 Lakeland FL 33813-2633 Ph: (863) 777-2736 | Juan O Bravo 170 Fitzgerald Rd Ste 1 Lakeland FL 33813-2633 Ph: (863) 701-2318 |
| NPI Number | 1497934228 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497934228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME74194 (Florida) | Primary |
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