| Organization Name: | MIGUEL A BRAVO MD SURGICAL ASSOCIATES INC |
| NPI Number: | 1437339280 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIGUEL A BRAVO (MEDICAL DOCTOR OWNER) |
| Mailing Address: | 420 S James St Suite B Dover |
| State: | OH US |
| Postal Code: | 446223206 |
| Phone Number: | 3306027707 |
| Fax Number: | 3306026071 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 03/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 52476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |