Individual provider · Type 1 NPI
Floresita B. Bravo Edora, MD
General Practice Physician · Harrisville, WV
NPI number
1407864465
Active
Practice location
135 South Penn Avenue
Harrisville, WV 26362-0373
Fax (304) 643-4007
Mailing address
PO Box 373, 135 South Penn Avenue
Harrisville, WV 26362-0373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 12375 (WV) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1407864465
Floresita B. Bravo Edora, MD's National Provider Identifier is 1407864465, issued on Aug 4, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Harrisville, WV. The record was last updated on May 15, 2008.