Wade J Bravo, PA Valid NPI

Individual provider · Physician Assistant · Patrick Afb, FL

NPI

1023085255

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA2830 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2006-03-07

Last updated

2007-07-08