FLORESITA B BRAVO EDORA (NPI# 1407864465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407864465 |
| Entity Type | Individual |
| Full Name | FLORESITA B BRAVO EDORA |
| Credential | MD |
| Practice Address |
135 South Penn Avenue Harrisville WV 26362-0373 |
| Mailing Address |
Po Box 373 135 South Penn Avenue Harrisville WV 26362-0373 |
| Practice Telephone | 3046434005 |
| Practice Fax Number | 3046434007 |
| Mailing Telephone | 3046434005 |
| Mailing Fax Number | 3046434007 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 12375 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0050558000 | 05 |
| Street Address |
135 SOUTH PENN AVENUE |
| City | HARRISVILLE |
| State | WV |
| Zip Code | 26362-0373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417965476 | Saad Ullah Butt | Internal Medicine | 135 South Penn Avenue, Harrisville, WV 26362-0373 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1104439298 | Jessica Dawn Griffin | Registered Nurse | 521 South Court Street, Harrisville, WV 26362 | 2020-08-28 |
| 1659983971 | Debra Jean Lamp | Technician | 608 E. Norht St., Harrisville, WV 26362 | 2020-08-18 |
| 1427560580 | Frances Louise Bunner | Technician | 6220 Smithville Rd, Harrisville, WV 26362 | 2017-10-30 |
| 1336541457 | Ritchie Co. Integrated Family Services | Non-emergency Medical Transport (VAN) | 521 S. Court St., Harrisville, WV 26362 | 2014-09-19 |
| 1669699328 | Ritchie Co. Integrated Family Services | Home Health | Corner of South Court and Edgeview Lane, Harrisville, WV 26362 | 2007-04-20 |
| 1962597476 | James Daniel White | Chiropractor | 605 North Street, Harrisville, WV 26362 | 2006-10-03 |
| 1922111426 | Ritchie Co. Integrated Family Services | Home Health | Corner of S. Court St. and Edgeview Lane, Harrisville, WV 26362 | 2006-08-17 |
| 1689606071 | Heartline Plus Medical Suppliers Inc | Durable Medical Equipment & Medical Supplies | 600 E Main Street, Harrisville, WV 26362 | 2006-07-07 |
| 1619949203 | Joanna L Cook | Chiropractor | 404 N Penn Ave, Harrisville, WV 26362 | 2006-02-07 |
| Find all providers in zip 26362 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747528 | Susan L Cavender M.d. Pllc | General Practice | 1115 Lee St E, Charleston, WV 25301-2412 | 2017-08-25 |
| 1396284428 | Chapmanville Primary Care Clinic | General Practice | 462 Main Street, Chapmanville, WV 25508 | 2017-02-22 |
| 1952855264 | Mountaineer Family Care Center | General Practice | 318 S Mountaineer Hwy, Thornton, WV 26440-7152 | 2016-08-04 |
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1376958058 | Nadezda Samples | General Practice | 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 | 2014-06-21 |
| 1932476249 | William Palmer Zitter | General Practice | 1637 Mccoy Rd, Huntington, WV 25701-4867 | 2011-11-30 |
| 1174806129 | Steven Ira Richman | General Practice | Hc 74 Box 98i, Hinton, WV 25951-9115 | 2011-09-26 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1184914947 | Todd R Myers Md LLC | General Practice | 1113 Washington St, Suite 203, Ravenswood, WV 26164-1020 | 2011-04-13 |
| 1295030674 | Capital Management Services Company | General Practice | 231 Capitol St, Suite 301, Charleston, WV 25301-2200 | 2011-01-17 |
| Find all providers with the same taxonomy | ||||
| City | HARRISVILLE |
| Zip Code | 26362 |
Please comment or provide details below to improve the information on FLORESITA B BRAVO EDORA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.