person
Floresita B Bravo Edora, MD
General Practice Physician in Harrisville, West Virginia
NPI 1407864465

Floresita B Bravo Edora is a General Practice Physician based in Harrisville, WV. Floresita B Bravo Edora practices in Harrisville, WV and has the professional credentials of MD. The NPI Number for Floresita B Bravo Edora is 1407864465 and holds a License No. 12375 (West Virginia).

The current practice location address for Floresita B Bravo Edora is 135 South Penn Avenue, Harrisville, WV and can be reached out via phone at 304-643-4005 and via fax at 304-643-4007.

Location: 135 South Penn Avenue, Harrisville, WV, 26362-0373
person
Provider Profile Details
NPI Number
1407864465
Provider Name
Floresita B Bravo Edora
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
135 South Penn Avenue, Harrisville, WV, 26362-0373
Phone Number
304-643-4005
Fax Number
304-643-4007
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0050558000 05 WV
institution
Provider Business Practice Location Address Details
Address
135 South Penn Avenue
City
State
Zip
26362-0373
Phone Number
304-643-4005
Fax Number
304-643-4007
person
Provider Business Mailing Address Details
Address
135 South Penn Avenue
City
State
Zip
26362-0373
Phone Number
304-643-4005
Fax Number
304-643-4007
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
12375 (West Virginia)
Definition
Definition to come...
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