MEDICARE: ENDOBRAIN HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1467379552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOBRAIN HEALTH PLLC

Provider Business Mailing Address
First Line	:	2630 W BROWARD BLVD STE 203-1023
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2630 W BROWARD BLVD STE 203-1023
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1314
Country	:	US
Telephone Number	:	305-337-1551
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY ARIAS BRAVO
Credential	:	APRN
Telephone Number	:	646-331-4792

Provider Enumeration Date	:	06/30/2026
Last Update Date	:	06/30/2026

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