Individual
BRADLEY P TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3367 GALT OCEAN DRIVE, FORT LAUDERDALE, FL 33308-7002
(954) 566-2580
(954) 566-8929
Mailing address
3367 GALT OCEAN DRIVE, FORT LAUDERDALE, FL 33308-5968
(954) 566-2580
(954) 566-8929
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3045
FL
213ES0131X
Foot Surgery Podiatrist
PO 3045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340373400
—
FL
Enumeration date
07/05/2005
Last updated
12/03/2008
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