| Patricia Bravo M.d,p.a | |
|
1440 79th Street Cswy Suite #1400 North Bay Village FL 33141-4188 | |
| (305) 763-8573 | |
| (305) 763-8574 |
| Full Name | Patricia Bravo M.d,p.a |
|---|---|
| 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 |
|---|---|
| Patricia Bravo M.d,p.a 1440 79th Street Cswy Suite #1400 North Bay Village FL 33141-4188 Ph: (305) 763-8573 | Patricia Bravo M.d,p.a 1440 79th Street Cswy Suite #1400 North Bay Village FL 33141-4188 Ph: (305) 763-8573 |
| NPI Number | 1235463654 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 06/10/2012 |
| Medicare PECOS PAC ID | 1355476219 |
|---|---|
| Medicare Enrollment ID | O20100317000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235463654 | NPI | - | NPPES |
| 1235463654 | Other | FL | NPI |
| 267682600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 91464 (Florida) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Patricia Bravo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013938810 PECOS PAC ID: 0143254110 Enrollment ID: I20050920000956 |
A New Beginning Behavioral Therapy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 79th Street Cswy Ste 400, North Bay Village, FL 33141 Phone: 305-331-9355 | |
Sunny Days Community Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 J F Kennedy Cswy, Suite 130, North Bay Village, FL 33141 Phone: 305-981-2200 Fax: 305-981-2211 | |
Shared Goals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8000 East Dr Apt 206, North Bay Village, FL 33141 Phone: 786-925-3003 | |
Light Houses Behavioral And Habilitation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 E Treasure Dr, Cu1, North Bay Village, FL 33141 Phone: 305-302-8022 | |
Aba Kids Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8000 West Dr Apt 121, North Bay Village, FL 33141 Phone: 786-531-2584 |