Individual
DR. BRADLEY AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2416 W BRANDON BLVD, BRANDON, FL 33511-4717
(813) 684-7070
Mailing address
3056 SATILLA LOOP, ODESSA, FL 33556-2739
(954) 696-3288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4928
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014824000
—
FL
Enumeration date
06/23/2014
Last updated
01/22/2025
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