Bravo, Susan E

Bravo, Susan E is an individual health care provider with primary practice located at 2150 Se Salerno Rd , Stuart FL 34997-6572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bravo, Susan E can be contacted via phone (772) 223-5777.

Contact Information

Primary practice address
2150 Se Salerno Rd Stuart FL 34997-6572
Phone: (772) 223-5777
Fax: (772) 223-5751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN1949502 Florida

Profile Details

NPI number 1679592273
LBN Legal business name Bravo, Susan E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 9th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679592273 NPPES
Florida MEDICAID 301245000

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