Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME150554 | FL |
NPI | 1053722744 |
---|---|
Provider Name | Dr. Dalibel Bravo |
First Address | Atlanta, GA 30384-0905 |
Second Address | Miami, FL 33196-1273 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2014 |
Last Update Date | 01/07/2021 |