TERESA B BRAVO (NPI# 1093797854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093797854 |
| Entity Type | Individual |
| Full Name | TERESA B BRAVO |
| Credential | M.D. |
| Practice Address |
1307 E Osceola Pkwy Kissimmee FL 34744-1605 |
| Mailing Address |
9703 Avellino Ave Unit 1202 Orlando FL 32819-8809 |
| Practice Telephone | 4077440459 |
| Practice Fax Number | 8558521974 |
| Mailing Telephone | 9147158615 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME124549 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 043928 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | 124549 | 01 |
| CT | 043928 | STATE LICENSE | 01 |
| Street Address |
1307 E OSCEOLA PKWY |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940943 | Gilberto L De Miranda | General Practice | 1307 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2005-05-27 |
| 1649813338 | Jose Irvin Chavarria | Physician Assistant | 1307 E Osceola Pkwy, Kissimmee, FL 34744 | 2019-10-24 |
| 1215409735 | Patricia Lopez | Nurse Practitioner | 1307 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2018-12-21 |
| 1548748478 | Guidewell Sanitas I, LLC | Clinic/Center | 1307 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2018-08-02 |
| 1518450311 | Yoan Araujo Gonzalez | General Practice | 1307 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2018-06-07 |
| 1639484876 | Diana Katherine Nieto | Physician Assistant | 1307 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2010-08-12 |
| 1164626578 | Juan R. Almeyda-gomez | Pediatrics | 1307 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
| 1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
| 1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
| 1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
| 1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
| 1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
| Find all providers in zip 34744 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835473 | Adventist Health System Sunbelt, Inc | Family Medicine | 2488 E Irlo Bronson Memorial Hwy Ste 204, Kissimmee, FL 34744-4908 | 2020-06-11 |
| 1386268993 | Florida Advanced Medicine LLC | Family Medicine | 2522 Oak Run Blvd, Kissimmee, FL 34744-3017 | 2020-05-31 |
| 1053932202 | Willka Vanessa Parra | Family Medicine | 1997 Willow Wood Dr # De, Kissimmee, FL 34746-3780 | 2020-04-29 |
| 1053932350 | Mariana Carolina Diaz | Family Medicine | 3141 Pine Branch Dr Apt 103, Kissimmee, FL 34741-3501 | 2020-04-28 |
| 1124649561 | Scarlet Benilde Gonzalez | Family Medicine | 4319 Creeks Run Blvd, Kissimmee, FL 34746-2314 | 2020-04-27 |
| 1952872061 | Olga Lorena Seoanes | Family Medicine | 2068 E Osceola Pkwy, Kissimmee, FL 34743-8602 | 2018-12-16 |
| 1457822066 | Surujdai Pooransingh | Family Medicine | 354 Aylesbury Ct, Kissimmee, FL 34758-4298 | 2018-12-07 |
| 1174011571 | Summit Health Family Practice LLC | Family Medicine | 507 Berry James Ct, Kissimmee, FL 34744-8514 | 2018-05-01 |
| 1932613882 | Mi Doctor LLC | Family Medicine | 4611 Cumbrian Lakes Dr, Kissimmee, FL 34746-6717 | 2017-11-29 |
| 1013360395 | Derly Jean-noel | Family Medicine | 3380 Wilderness Trl, Kissimmee, FL 34746-2926 | 2016-07-21 |
| Find all providers in KISSIMMEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.