Individual
DR. BRADLEY PHILIP ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6002 POINTE WEST BLVD, BRADENTON, FL 34209-5531
(941) 792-2020
Mailing address
PO BOX 162264, ALTAMONTE SPRINGS, FL 32716-2264
(941) 792-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS15204
FL
207W00000X
Ophthalmology Physician
OT015917
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043646672
NPI
PA
Enumeration date
09/14/2013
Last updated
09/09/2024
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