Juan O Bravo

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME74194 Issued in FL

Legal business name

JUAN O BRAVO

Practice address

170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633

Phone

(863) 701-2318

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan O Bravo, MDNPI 1558470443

Title

Doctor

Phone

(863) 398-8362

Specialties & licenses 1

Addresses

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 MD PL

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Coral Springs, FL
  • NPI 1336258243
  NPD tax ID

Practitioners 1

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
  NPD Authorized official

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1497934228",
    "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": "170 FITZGERALD RD STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132633",
            "telephone_number": "863-701-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN O BRAVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "863-398-8362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME74194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Joshi, O.D.
• Ripudaman Joshi, M.D.
• Jennifer L Josserand, LCSW
• Shannon W Joyner, MA CCC SLP
• Joyness Therapy LLC
• Elizabeth Ashley Judy, PHARMD
• You S Jung, PHARM D
• Brian Michael Jurbala, M.D.
• Panayotis Jusakos, MD
• K C Nurse Registry

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.