“Physician Assistant” (Patrick Afb, FL)
Location: Patrick Afb, FL
Taxonomy: Physician Assistant.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1023085255
—
WADE
J
BRAVO
PA
Practice Location Address:
1381 S PATRICK DRIVE
45TH MEDICAL GROUP
PATRICK AFB FL
32925
Practice Phone:
321-494-8159