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

JUAN OSCAR BRAVO, MD, CWS

Active Sole Proprietor

JUAN OSCAR BRAVO, MD, CWS is a 2083P0011X healthcare provider located in LAKELAND, Florida. NPI 1558470443 is currently active in the NPPES registry. Verify at CMS.

2083P0011X · LAKELAND, FL

Registration Details

NPI Number
1558470443
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.92982303836 yrs)
Last Updated
Mar 29, 2023
Licenses
ME74194 (FL)
ME-74194 (FL)
ME74194 (FL)
Sole Proprietor
Yes

Practice Information

Address
170 FITZGERALD RD STE 1
LAKELAND, FL, 338132633
Browse FL providers · Browse ZIP 33813
Phone
8637772736
Fax
8637772724
Primary Specialty
2083P0011X
2083P0011X
Additional Specialty
Family Medicine
Additional Specialty
2083P0011X

Other 2083P0011X Providers in LAKELAND, FL

Name Credential NPI
STEPHEN PAPPACHEN M.D. 1063418580
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.