Individual
BRADLEY CAMERON STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 S HOWARD AVE STE 106226, TAMPA, FL 33606-2473
(813) 549-6299
Mailing address
701 S HOWARD AVE STE 106226, TAMPA, FL 33606-2473
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME-131954
FL
Other
Enumeration date
04/28/2011
Last updated
01/11/2021
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