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Organization
J. B. BRADLEY, D.C., P.A.
Active
Organization
J. B. BRADLEY, D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE BRAXTON BRADLEY D.C. (CHIROPRACTO)
(239) 332-1311
Entity
Organization
Contact information
Practice address
2306 CLEVELAND AVE, FORT MYERS, FL 33901-3540
(239) 332-1311
Mailing address
2306 CLEVELAND AVE, FORT MYERS, FL 33901-3540
(239) 332-1311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2687
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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