Individual
SHANNON M BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4340 NEWBERRY RD STE 104, GAINESVILLE, FL 32607-2557
(352) 377-3100
(352) 377-1286
Mailing address
232 SW LENVIL LN, FORT WHITE, FL 32038-4334
(352) 494-3600
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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