| Richard Deguzman Bravo Jr, DO | |
|
505 Oakfield Dr, Brandon, FL 33511-5700 | |
| (813) 684-2229 | |
| (813) 916-2944 |
| Full Name | Richard Deguzman Bravo Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 505 Oakfield Dr, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215432919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | OS18373 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Port Charlotte Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003985573 PECOS PAC ID: 8729187901 Enrollment ID: O20070629000043 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Deguzman Bravo Jr, DO 505 Oakfield Dr, Brandon, FL 33511-5700 Ph: (813) 684-2229 | Richard Deguzman Bravo Jr, DO 505 Oakfield Dr, Brandon, FL 33511-5700 Ph: (813) 684-2229 |
Stephen Irwin Wagner, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Oakfield Dr, Brandon, FL 33511 Phone: 813-654-2273 Fax: 813-654-1384 | |
Dorothy T Lee-evenson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 S Kings Ave Ste 3000, Brandon, FL 33511 Phone: 813-681-6625 Fax: 813-684-6043 | |
Karem Alvarez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 S Kings Ave Ste 3100, Brandon, FL 33511 Phone: 813-681-9171 Fax: 813-681-7580 | |
Darcy N. Bryan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 S Kings Ave Ste 3000, Brandon, FL 33511 Phone: 813-681-6625 Fax: 813-684-6043 | |
Dr. Marian Antonette Sampson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 815 S Parsons Ave, Brandon, FL 33511 Phone: 813-571-2777 Fax: 813-571-2888 | |
Dr. Pamela Dawn Schwartz, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 S Kings Ave Ste 3000, Brandon, FL 33511 Phone: 813-681-6625 Fax: 813-684-6043 |