Individual
DR. BRADLEY HAVLICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2085 A1A S, STE 103, SAINT AUGUSTINE, FL 32080-6505
(904) 515-2225
Mailing address
2085 A1A S, STE 103, ST AUGUSTINE, FL 32080-6505
(904) 515-2225
(904) 515-2235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11280
FL
Other
Enumeration date
09/23/2014
Last updated
05/17/2017
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