Bravo, Iris
Bravo, Iris is an individual health care provider with primary practice located at 822B N John Young Pkwy , Kissimmee FL 34741-4912. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bravo, Iris can be contacted via phone (855) 501-1004.Contact Information
Primary practice address
822B N John Young Pkwy
Kissimmee FL 34741-4912
Phone: (855) 501-1004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9191132 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 405198 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 405198 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP9191132 | Florida |
Profile Details
| NPI number | 1619348752 |
|---|---|
| LBN Legal business name | Bravo, Iris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2015 |
| Last updated | May 1st, 2026 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619348752 | NPPES |
| New York | MEDICAID | 1619348752 | |
| New York | MEDICAID | 015897400 |
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