Braden Clinic Llc
May also be knows as Mater Dei Clinic
General Practice Physician in Ave Maria, FL(View on Map)
Legal Business Name
Braden Clinic Llc
Also Known As
Mater Dei Clinic
NPI Number
1871901157
NPI Type
Organization
Enumeration Date
07/30/2014
Specialties
(Taxonomies)Name
Code
208D00000X
207QA0401X
207L00000X
2084P0804X
207P00000X
207Q00000X
207PT0002X
261QP2300X
2084P0800X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
No
Licenses
State
Florida
Florida
Florida
License Number
OS12519
ME104654
OS13007
Contact
Information
Purpose
Mailing
Location
Address
5068 ANNUNCIATION CIR UNIT 111
5068 ANNUNCIATION CIR UNIT 111
City
Ave Maria
Ave Maria
State
FL
FL
Postal Code
34142-9668
34142-9668
Country
US
US
Telephone Number
(239) 867-4395
(239) 867-4395
Authorized Official
Name
Ana Garcia Iguaran
Title or Position
SOLE OWNER
Telephone Number
(405) 317-1258
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/29/2024
Provider Address
Other General Practice Physician in Ave Maria, Florida:
Ave Maria Primary Care, Llc
Ave Maria, FLSpecialties: Internal Medicine Physician (Primary)General Practice Physician