Stephen M. Bravo MD
Diagnostic Radiology Physician in Orlando, FL(View on Map)
Full Name
Stephen M. Bravo MD
NPI Number
1225011281
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/23/2005
Specialties
(Taxonomies)Licenses
State
Florida
Maine
New York
License Number
ME83499
MD23939
216768
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 690909
9350 TURKEY LAKE RD
City
Orlando
Orlando
State
FL
FL
Postal Code
32869-0909
32819-7319
Country
US
US
Telephone Number
(407) 363-2772
(407) 363-2772
Identifiers
Identifier
1225011281
267291000
80038
Identifier State
ME
FL
FL
Identifier Issuer
Unknown
Unknown
BC BS OF FLORIDA
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/17/2024