Bravo, Juan Oscar

Bravo, Juan Oscar is an sole proprietor health care provider with primary practice located at 170 Fitzgerald Rd Ste 1 , Lakeland FL 33813-2633. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Bravo, Juan Oscar can be contacted via phone (863) 777-2736.

Contact Information

Primary practice address
170 Fitzgerald Rd Ste 1 Lakeland FL 33813-2633
Phone: (863) 777-2736
Fax: (863) 777-2724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME74194 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME-74194 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME74194 Florida

Profile Details

NPI number 1558470443
LBN Legal business name Bravo, Juan Oscar
Credentials MD, CWS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Mar 29th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558470443 NPPES
Florida MEDICAID 271611900
Florida Other 44573

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