Individual
BRADLEY HARMON SIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 6TH AVE S, ST PETERSBURG, FL 33701-4662
(727) 767-7903
Mailing address
625 6TH AVE S, ST PETERSBURG, FL 33701-4662
(727) 767-7903
(727) 767-7905
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
007131
GA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME150340
FL
207VX0000X
Obstetrics Physician
ME150340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110994200
—
FL
Enumeration date
03/24/2014
Last updated
02/29/2024
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