Provider Demographics
NPI:1437466950
Name:BRAGA, CRISTINA FAVERO (PA)
Entity Type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:FAVERO
Last Name:BRAGA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:121 S. ORANGE AVENUE
Mailing Address - Street 2:SUITE 940N
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3234
Mailing Address - Country:US
Mailing Address - Phone:321-332-6947
Mailing Address - Fax:407-658-9688
Practice Address - Street 1:810 N. NOWELL STREET
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7539
Practice Address - Country:US
Practice Address - Phone:407-290-9556
Practice Address - Fax:407-290-9509
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2014-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103922363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant