Individual
BRADLEY GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10000 W COLONIAL DR STE 393, OCOEE, FL 34761-3433
(407) 296-1871
Mailing address
9513 LAKE HUGH DR, GOTHA, FL 34734-4630
(205) 310-8812
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS16558
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2015
Last updated
12/02/2021
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