Individual
PAUL BRADLEY WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
17961 S US HIGHWAY 441, SUMMERFIELD, FL 34491-8685
(352) 307-4435
(352) 307-4437
Mailing address
17961 S US HIGHWAY 441, SUMMERFIELD, FL 34491-8685
(352) 307-4435
(352) 307-4437
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5790
FL
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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