| Bravant LLC | |
|
8250 Bryan Dairy Rd Ste 305 Largo FL 33777-1360 | |
| (727) 391-5008 | |
| Not Available |
| Full Name | Bravant LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8250 Bryan Dairy Rd Ste 305, Largo, Florida |
| Authorized Official Name and Position | Theophilus Torgbor Sai (OWNER) |
| Authorized Official Contact | 8136009981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravant LLC 3218 W Horatio St Tampa FL 33609-3028 Ph: (813) 600-9981 | Bravant LLC 8250 Bryan Dairy Rd Ste 305 Largo FL 33777-1360 Ph: (727) 391-5008 |
| NPI Number | 1942038286 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942038286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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