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General NPI Number Information
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NPI Number | 1407171002
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Entity Type | Individual
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Provider Name | JENNIFER SAVOCA BRAVERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 636 DEL PRADO BLVD S
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City | CAPE CORAL
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State | FL
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Zip | 33990-2668
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Country | US
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Telephone | 239-343-9560
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Fax | 239-468-7920
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-9560
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Fax | 239-468-7920
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 35-127669
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME149957
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME149957
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License Number State | FL
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