Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | DN0013038 | FL |
N | 213EG0000X | General Practice | DN0013038 | FL |
N | 126800000X | Dental Assistant | FL |
NPI | 1194865584 |
---|---|
Provider Name | Dr. Maria Del Carmen Bravo |
First Address | Miami, FL 33174-1746 |
Second Address | Miami, FL 33174-1746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |