Provider Demographics
NPI:1336029305
Name:BRAVO ODIO, ARMANDO (FNP)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:BRAVO ODIO
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 NW 4TH ST APT 1307
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33128-1716
Mailing Address - Country:US
Mailing Address - Phone:786-302-7221
Mailing Address - Fax:
Practice Address - Street 1:445 NW 4TH ST APT 1307
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1716
Practice Address - Country:US
Practice Address - Phone:786-302-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11041875363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily