Individual
DAVID BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15496 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218-2564
(904) 895-5400
(904) 895-5401
Mailing address
2782 LANTANA LAKES DR W, JACKSONVILLE, FL 32246-4621
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11034343
FL
Other
Enumeration date
07/30/2024
Last updated
01/16/2025
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