Bravo, Leticia

Bravo, Leticia is an individual health care provider with primary practice located at 306 Union Ave , Crescent City FL 32112-4432. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bravo, Leticia can be contacted via phone (386) 698-1232.

Contact Information

Primary practice address
306 Union Ave Crescent City FL 32112-4432
Phone: (386) 698-1232
Fax: (386) 698-4154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9197551 Florida

Profile Details

NPI number 1427451327
LBN Legal business name Bravo, Leticia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2014
Last updated Mar 11th, 2020 - about 5 years ago

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 1427451327 NPPES
Florida MEDICAID 015856600

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