MEDICARE: MEDICAL ESSENTIALS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084P0800X	Psychiatry Physician
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency
4	261QC1500X	Community Health Clinic/Center
5	261QP2300X	Primary Care Clinic/Center
6	305S00000X	Point of Service
7	2083P0901X	Public Health & General Preventive Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942880943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ESSENTIALS LLC

Provider Business Mailing Address
First Line	:	306 W MANGO ST
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-2835
Country	:	US
Telephone Number	:	954-297-9802
Fax Number	:	561-431-5873

Provider Business Practice Location Address
First Line	:	306 W MANGO ST
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-2835
Country	:	US
Telephone Number	:	954-297-9802
Fax Number	:	561-431-5873

Authorized Official
Title or Position	:	CEO
Name	:	LESLIE G BRAVO
Credential	:
Telephone Number	:	954-297-9802

Provider Enumeration Date	:	04/13/2021
Last Update Date	:	06/02/2025

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Directions to “MEDICAL ESSENTIALS LLC ” Practice Location

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