BRAVO HEALTH CARE CENTER
NPI 1235463654
Family Medicine - Adult Medicine in North Bay Village, FL

Active since October 01, 2009CLIA 10D2040562 · Waiver
1440 79TH STREET CSWY, SUITE #1400, NORTH BAY VILLAGE, FL 33141(305) 763-8573(305) 763-8574 Get Directions Write a Review

NPPES record last updated: June 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bravo Health Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAVO HEALTH CARE CENTER (NPI 1235463654) is a healthcare organization registered as an adult medicine in North Bay Village, Florida and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Patricia Bravo, Director, as its authorized official.

NPPES Registry Identity

NPI1235463654
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePATRICIA BRAVO M.D,P.A
Location Address1440 79TH STREET CSWY, SUITE #1400North Bay Village, FL 33141-4188
Mailing Address1440 79th Street Cswy, Suite #1400North Bay Village, FL 33141-4188 · (305) 763-8573 · Fax (305) 763-8574
Fax(305) 763-8574
Organization SubpartNo
Authorized OfficialPatricia BravoDirector · (305) 763-8573
Enumeration DateOctober 1, 2009
Last NPPES UpdateJune 10, 2012
NPI 1235463654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME 91464 (FL)
1440 79TH STREET CSWY, North Bay Village, FL 33141

Other Names 1

Doing Business AsBravo Health Care Center

Other Identifiers 3

Other1235463654FL · Npi
Medicare PINCV991AFL
Medicaid267682600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2040562

Bravo Health Care Center · North Bay Village, FL
Active · expires May 2, 2028
CLIA Number10D2040562
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorPatrica Bravo
Laboratory Phone(305) 763-8573
Laboratory LocationBravo Health Care Center1440 79 St Cswy Ste 1400, North Bay Village, FL 33141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1440 79TH STREET CSWY
NORTH BAY VILLAGE, FL 33141
General Practice
1440 79TH STREET CSWY, SUITE 1406
NORTH BAY VILLAGE, FL 33141
General Practice
1440 79TH STREET CSWY, SUITE 102
NORTH BAY VILLAGE, FL 33141
Durable Medical Equipment & Medical Supplies
1440 79TH STREET CSWY, SUITE 410
NORTH BAY VILLAGE, FL 33141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235463654, enumerated as an "organization" on October 01, 2009.

The provider is located at 1440 79TH STREET CSWY SUITE #1400 NORTH BAY VILLAGE, FL 33141 and the phone number is (305) 763-8573.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.