IndividualActive
Wade Bravo, PA
NPI 1023085255 · Physician Assistant · Patrick Afb, FL
Provider details
- NPI number
- 1023085255
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- License
- PA2830 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1381 S Patrick Drive
45th Medical Group
Patrick Afb, FL 32925
Phone: (321) 494-8159
Fax: (321) 494-1378
Approximate (ZIP-level) locationGet directions
Mailing address
1381 S Patrick Drive
Patrick Afb, FL 32925
Registry dates
- Enumerated
- 2006-03-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.