| Doctor Name: | MONICA BRAVO |
| NPI Number: | 1417169053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SZ 7052 |
| Business Practice Address: | 2400 S Highway 27 Clermont, FL - 347116816 |
| Business Phone Number: | 3523940212 |
| Business Fax Number: | 3522416361 |
| Mailing Address: | 12900 Sawgrass Pine Cir, ORLANDO |
| State: | FL |
| Postal Code: | 328244890 |
| Phone Number: | 3216634076 |
| Fax Number: | 3216634076 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 03/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SZ 7052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |