WADE J BRAVO

PATRICK AFB, FL
NPI1023085255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA2830)
Enumeration Date2006-03-07
Last Update Date2007-07-08
Business Address
-- WADE J BRAVO PA
1381 S PATRICK DRIVE 45TH MEDICAL GROUP
PATRICK AFB, FL 32925
Phone number: 321-494-8159
Mailing Address
-- WADE J BRAVO PA
1381 S PATRICK DRIVE 45TH MEDICAL GROUP
PATRICK AFB, FL 32925
Phone number: 321-494-8159
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