Organization

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

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:

Organization

Ave Maria Primary Care, Llc

Ave Maria, FL

Specialties: Internal Medicine Physician (Primary)General Practice Physician