Individual
MR. BRADLEY WADE LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 237-2400
(352) 237-9808
Mailing address
7930 SW 84TH WAY, GAINESVILLE, FL 32608-6129
(352) 376-1921
(352) 372-6956
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9189417
FL
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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