Individual
BRADLEY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3892
(727) 543-4850
Mailing address
4602 CR 673 # 7577, BUSHNELL, FL 33513-8358
(719) 231-1238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168679
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
11004008
FL
367500000X
Certified Registered Nurse Anesthetist
13924
TN
367500000X
Certified Registered Nurse Anesthetist
55704
NM
Other
Enumeration date
02/01/2006
Last updated
04/29/2022
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