Iris Bravo
Nurse Practitioner, Psych/Mental Health in Kissimmee, FL. Individual provider (NPI-1).
Details
- NPI
- 1619348752
- Entity type
- Individual (NPI-1)
- Name
- Iris Bravo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2015
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | ARNP9191132 | FL | Yes |
| 363L00000X | Nurse Practitioner | ARNP9191132 | FL | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 405198 | NY | |
| 363L00000X | Nurse Practitioner | 405198 | NY |
Practice location
822b N John Young PkwyKissimmee, FL 34741-4912
Phone 855-501-1004
Mailing address
3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Other practice locations
Ocoee, FL 34761-4547
Phone 855-501-1004 · Fax 407-445-0321
Orlando, FL 32832-7908
Phone 407-860-9569
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Kissimmee, FL
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All 80 Psychiatric/Mental Health Nurse Practitioner providers in Kissimmee · All 7,630 providers in Kissimmee
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