Floresita B Bravo Edora, MD in Harrisville, WV - General Practice

Floresita B Bravo Edora, MD is a General Practice physician based in Harrisville, West Virginia. Floresita B Bravo Edora is licensed to practice in West Virginia (license number 12375) and her current practice location is 135 South Penn Avenue, Harrisville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 643-4005.

NPI number for Floresita B Bravo Edora is 1407864465 and her current mailing address is Po Box 373, 135 South Penn Avenue, Harrisville, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407864465.

Contact Information

	Floresita B Bravo Edora, MD
	135 South Penn Avenue, Harrisville, WV 26362-0373
	(304) 643-4005
	(304) 643-4007

Physician's Profile

Full Name	Floresita B Bravo Edora
Gender	Female
Speciality	General Practice
Location	135 South Penn Avenue, Harrisville, West Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1407864465
Provider Enumeration Date: 08/04/2006
Last Update Date: 05/15/2008

Medical Identifiers

Medical identifiers for Floresita B Bravo Edora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407864465	NPI	-	NPPES
0050558000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	12375 (West Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Floresita B Bravo Edora is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Floresita B Bravo Edora, MD Po Box 373, 135 South Penn Avenue, Harrisville, WV 26362-0373 Ph: (304) 643-4005	Floresita B Bravo Edora, MD 135 South Penn Avenue, Harrisville, WV 26362-0373 Ph: (304) 643-4005

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Floresita B Bravo Edora, MD - General Practice in Harrisville, WV