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1497934228
JUAN O BRAVO
LAKELAND, FL
NPI
1497934228
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Entity Type
Organization
Authorized Contact
JUAN O BRAVO
Doctor
863-398-8362
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: FL ME74194)
Enumeration Date
2007-10-29
Last Update Date
2024-09-23
Business Address
JUAN O BRAVO
170 FITZGERALD RD STE 1
LAKELAND, FL 33813-2633
Phone number: 863-701-2318
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Mailing Address
JUAN O BRAVO
170 FITZGERALD RD STE 1
LAKELAND, FL 33813-2633
Phone number: 863-777-2736
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