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JUAN O BRAVO
NPI 1497934228
General Practice in Lakeland, FL

Active since October 29, 2007
170 FITZGERALD RD STE 1, LAKELAND, FL 33813(863) 701-2318 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2024, Mar 29, 2023 (2 updates tracked since 2023).

About Juan O Bravo NPPES

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

JUAN O BRAVO (NPI 1497934228) is a healthcare organization registered as a general practice in Lakeland, Florida and active in the NPI registry since October 2007. The organization lists Juan O Bravo, Doctor, as its authorized official.

NPPES Registry Identity

NPI1497934228
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJUAN O BRAVO
Location Address170 FITZGERALD RD STE 1Lakeland, FL 33813-2633
Mailing Address170 Fitzgerald Rd Ste 1Lakeland, FL 33813-2633 · (863) 777-2736 · Fax (863) 777-2724
Phone(863) 701-2318
Organization SubpartNo
Authorized OfficialJuan O BravoDoctor · (863) 398-8362
Enumeration DateOctober 29, 2007
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1497934228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME74194
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
170 FITZGERALD RD STE 1, Lakeland, FL 33813
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

ROSSITER & CUMMARO ENTERPRIZE LLC
Clinic/Center (Primary Care)
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (813) 754-7777
MY DOCTORS LIVE NETWORK
Clinic/Center (Multi-Specialty)
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (800) 838-8840
MILESTONES EARLY INTERVENTION SERVICES NETWORK
Family Medicine
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (863) 638-8372
JUAN OSCAR BRAVO MD, CWS
Preventive Medicine (Undersea and Hyperbaric Medicine)
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (863) 777-2736
MIS PROVIDER NETWORK LLC
Family Medicine
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (813) 687-5858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan O Bravo's NPI number?

The NPI number for Juan O Bravo is 1497934228. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Juan O Bravo located?

Juan O Bravo is located at 170 Fitzgerald Rd Ste 1, Lakeland, FL 33813. The listed phone number is (863) 701-2318.

What is Juan O Bravo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Juan O Bravo was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.