Individual
GRANT BRADFORD BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S RIDGEWOOD AVE, SUITE 11, EDGEWATER, FL 32132
(386) 423-7575
Mailing address
201 S RIDGEWOOD AVE, SUITE 11, EDGEWATER, FL 32132
(386) 423-7575
(386) 423-8443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12598
FL
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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