Bravo, Wade J

Bravo, Wade J is an individual health care provider with primary practice located at 1381 S Patrick Drive 45Th Medical Group, Patrick Afb FL 32925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bravo, Wade J can be contacted via phone (321) 494-8159.

Contact Information

Primary practice address
1381 S Patrick Drive 45Th Medical Group Patrick Afb FL 32925
Phone: (321) 494-8159
Fax: (321) 494-1378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2830 Florida

Profile Details

NPI number 1023085255
LBN Legal business name Bravo, Wade J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 17 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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