Rose Cali Bradwell in Riviera Beach - Physician Assistant

Rose Cali Bradwell - NPI 1942478656

Rose Cali Bradwell is a Physician Assistant in Riviera Beach, Florida. Rose Cali Bradwell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rose Cali Bradwell is 1942478656. The last update date is 2019-04-18.

Rose Cali Bradwell's current location address is 1097 Big Torch St, Riviera Beach, Florida. You can contact this provider via phone number 5618451669. The mailing address for Rose Cali Bradwell is 1097 Big Torch St, Riviera Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Rose Cali Bradwell
Address 1097 Big Torch St, Riviera Beach, Florida
Phone Number 5618451669
Fax Number
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1942478656
Provider Enumeration Date 2008-02-15
Last Updated Date 2019-04-18

Provider Mailing Address Detail

Address 1097 Big Torch St
City Riviera Beach
State Florida (FL)
Post Code 334071140
Phone Number 5618451669
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9102203
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HT448Z FL --

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FAQs about Rose Cali Bradwell

What is the unique provider identifier assigned to Rose Cali Bradwell?

The Rose Cali Bradwell has been issued the NPI (National Provider Identifier) 1942478656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Rose Cali Bradwell is physically located?

The Rose Cali Bradwell is situated at the following address: 1097 Big Torch St, Riviera Beach, FL 334071140.

What is Rose Cali Bradwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rose Cali Bradwell is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942478656 to Rose Cali Bradwell?

The Centers for Medicare & Medicaid Services assigned the 1942478656 to Rose Cali Bradwell on 2008-02-15.

As of what date were the details related to Rose Cali Bradwell most recently updated or revised?

The information pertaining to Rose Cali Bradwell, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-18.

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