Individual
MR. BRADLEY W. COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3917 UPOLO LANE, NAPLES, FL 34119
(239) 595-3438
Mailing address
3917 UPOLO LANE, NAPLES, FL 34119
(239) 595-3438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0027224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C455-079-67-141-0
DRIVERS LICENSE
FL
Enumeration date
09/04/2017
Last updated
09/04/2017
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