Individual
OPAL BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N 35TH AVE, HOLLYWOOD, FL 33021-5413
(954) 981-5511
Mailing address
9360 NW 20TH ST, PEMBROKE PINES, FL 33024-3112
(754) 581-2836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9214224
FL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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