Bravo Edora, Floresita B

Bravo Edora, Floresita B is an individual health care provider with primary practice located at 135 South Penn Avenue , Harrisville WV 26362-0373. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Bravo Edora, Floresita B can be contacted via phone (304) 643-4005.

Contact Information

Primary practice address
135 South Penn Avenue Harrisville WV 26362-0373
Phone: (304) 643-4005
Fax: (304) 643-4007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 12375 West Virginia

Profile Details

NPI number 1407864465
LBN Legal business name Bravo Edora, Floresita B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated May 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407864465 NPPES
West Virginia MEDICAID 0050558000

Popular Providers