Bravo, Teresa B

Bravo, Teresa B is an individual health care provider with primary practice located at 904B Cypress Pkwy , Kissimmee FL 34759-3456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bravo, Teresa B can be contacted via phone (407) 543-0237.

Contact Information

Primary practice address
904B Cypress Pkwy Kissimmee FL 34759-3456
Phone: (407) 543-0237
Fax: (407) 483-1405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 043928 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME124549 Florida

Profile Details

NPI number 1093797854
LBN Legal business name Bravo, Teresa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 18th, 2026 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093797854 NPPES
Connecticut Other STATE LICENSE 043928
Connecticut MEDICAID 116827200 043928
Connecticut Other 124549 043928

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