Individual
BRADLEY NICHOLAS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 CELEBRATION PL STE 110, CELEBRATION, FL 34747-4970
(407) 303-4639
Mailing address
8118 SW 1ST PL, GAINESVILLE, FL 32607-1519
(352) 514-4811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS57907
FL
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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