Juan O Bravo MD PL

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

JUAN O BRAVO MD PL

Practice address

3000 Coral Hills Dr
Coral Springs, FL 33065-4108

Phone

(863) 398-8362

Fax

(813) 754-7565

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juan O Bravo, MD, CWSNPI 1558470443

Title

Ceo

Phone

(863) 398-8362

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Juan O Bravo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Juan O Bravo

  • General Practice Physician
  • Lakeland, FL
  • NPI 1497934228
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Oscar Bravo, MD, CWS

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lakeland, FL
  • NPI 1558470443

  Family Medicine

  Medicare reassignment NPD Authorized official
• Morris Kutner, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lakeland, FL
  • NPI 1457416554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1336258243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 FITZGERALD RD STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132633",
            "telephone_number": "863-777-2736",
            "fax_number": "863-777-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654108",
            "telephone_number": "863-398-8362",
            "fax_number": "813-754-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN O BRAVO MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-398-8362",
        "authorized_official_credential": "MD, CWS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271611900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Joslyn
• Kailey Joss
• Josuzo Corp
• Joyce E Newcomb, PHD, RN, PA
• Opree Joyner, LCSW
• Christina Juarez, APRN
• Mahla Judge, L.AC.
• Judith Duga MD PA
• Judith Gulko PHD PA
• Julie P Nordman DMD PA

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.