Mark Winter Bradley in West Melbourne - Specialist

Mark Winter Bradley - NPI 1356408116

Mark Winter Bradley is a Specialist in West Melbourne, Florida. Mark Winter Bradley practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Winter Bradley is 1356408116. The last update date is 2007-07-08.

Mark Winter Bradley's current location address is 756 Preakness Dr, West Melbourne, Florida. You can contact this provider via phone number 3217491924. The mailing address for Mark Winter Bradley is 756 Preakness Dr, West Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Winter Bradley
Address 756 Preakness Dr, West Melbourne, Florida
Phone Number 3217491924
Fax Number
Sole Proprietor Y
Credentials L.M.T.

NPI Number Detail

NPI Number 1356408116
Provider Enumeration Date 2007-01-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 756 Preakness Dr
City West Melbourne
State Florida (FL)
Post Code 329047310
Phone Number 3217491924
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA 4120
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Mark Winter Bradley

What is the unique 10-digit identification code assigned to Mark Winter Bradley by the Centers for Medicare & Medicaid Services?

The Mark Winter Bradley has been issued the NPI (National Provider Identifier) 1356408116, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark Winter Bradley is geographically located?

The Mark Winter Bradley is physically situated at the following location: 756 Preakness Dr, West Melbourne, FL, 329047310.

What is Mark Winter Bradley's area of expertise and its corresponding taxonomy classification?

The Mark Winter Bradley's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1356408116 to Mark Winter Bradley?

The Mark Winter Bradley received its 1356408116 assignment from the Centers for Medicare & Medicaid Services on 2007-01-02.

When was the information related to Mark Winter Bradley most recently updated or refreshed?

The details pertaining to the Mark Winter Bradley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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