Organization Active NPI

Bravant LLC

  • Primary Care Clinic/Center
  • Largo, FL
National Provider Identifier
1942038286
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRAVANT LLC
Practice address
8250 Bryan Dairy Rd Ste 305
Largo, FL 33777-1360
Phone
(727) 391-5008
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Theophilus Torgbor Sai, MD
Title
Owner
Phone
(813) 600-9981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8250 Bryan Dairy Rd Ste 305
Largo, FL 33777-1360

Mailing address

3218 W Horatio St
Tampa, FL 33609-3028
Phone (813) 600-9981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1942038286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 W HORATIO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093028",
            "telephone_number": "813-600-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD STE 305",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771360",
            "telephone_number": "727-391-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "SAI",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_middle_name": "TORGBOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-600-9981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.