Individual
MRS. MEGAN C BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSHS
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 493-7744
Mailing address
8630 SYNHOFF DR, JACKSONVILLE, FL 32216-5350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
Enumeration date
08/17/2018
Last updated
08/17/2018
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