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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: July 26, 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 with the weekly NPPES data releases published by CMS.