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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WADE J BRAVO, PA

Active

WADE J BRAVO, PA is a Physician Assistant healthcare provider located in PATRICK AFB, Florida. NPI 1023085255 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PATRICK AFB, FL

Registration Details

NPI Number
1023085255
Provider Type
Individual
Gender
Male
NPI Issued
Mar 7, 2006 (20.431773479204 yrs)
Last Updated
Jul 8, 2007
License
PA2830 (FL)

Practice Information

Address
1381 S PATRICK DRIVE
45TH MEDICAL GROUP
PATRICK AFB, FL, 32925
Browse FL providers · Browse ZIP 32925
Phone
3214948159
Fax
3214941378
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PATRICK AFB, FL

Name Credential NPI
LEONARD WESLEY SCHUBRING PA C 1134114606
ZANETT M THOMAS PA 1104808963
MR. WILLIAM ALEXANDER STEELE PA 1245289768
ANDY MICHAEL CAMPOS PA-C 1801286927
THOMAS BROWN PA-C 1386125052
AARON PITTS PA-C 1801525902
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.