| Ms Leticia Bravo, ARNP | |
|
306 Union Ave, Crescent City, FL 32112-4432 | |
| (386) 698-1232 | |
| (386) 698-4154 |
| Full Name | Ms Leticia Bravo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 306 Union Ave, Crescent City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427451327 | NPI | - | NPPES |
| 015856600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9197551 (Florida) | Primary |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Leticia Bravo, ARNP 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-0108 | Ms Leticia Bravo, ARNP 306 Union Ave, Crescent City, FL 32112-4432 Ph: (386) 698-1232 |
Beatrice Perez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 306 Union Ave, Crescent City, FL 32112 Phone: 386-698-1232 | |
Ms. Mary Katherine Murphy, WHNP/FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Union Ave, Crescent City, FL 32112 Phone: 386-698-1232 Fax: 386-325-1086 | |
Molly Joan Hernandez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 899 N Summit St, Crescent City, FL 32112 Phone: 386-698-1088 Fax: 386-698-1099 |