Individual
DR. BRADLEY S DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 NW 15TH ST, #215A, BOCA RATON, FL 33486-1375
(561) 392-7704
(561) 392-8103
Mailing address
1050 NW 15TH ST, #215A, BOCA RATON, FL 33486-1375
(561) 392-7704
(561) 392-8103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0057241
FL
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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