Provider Demographics
NPI:1275563991
Name:BRATU, BEATRICE (MD)
Entity Type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:
Last Name:BRATU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1690 DUNLAWTON AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-8980
Mailing Address - Country:US
Mailing Address - Phone:386-481-6674
Mailing Address - Fax:386-271-2274
Practice Address - Street 1:1690 DUNLAWTON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-8979
Practice Address - Country:US
Practice Address - Phone:386-763-4920
Practice Address - Fax:386-463-4939
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME87820207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology