Bravo, Iris
Bravo, Iris is an individual health care provider with primary practice located at 1572 Citrus Medical Ct , Ocoee FL 34761-4547. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bravo, Iris can be contacted via phone (855) 501-1004.Contact Information
Primary practice address
1572 Citrus Medical Ct
Ocoee FL 34761-4547
Phone: (855) 501-1004
Fax: (407) 445-0321
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9191132 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP9191132 | Florida |
Profile Details
NPI number | 1619348752 |
---|---|
LBN Legal business name | Bravo, Iris |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2015 |
Last updated | Apr 4th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619348752 | NPPES |
Florida | MEDICAID | 015897400 |
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