Individual
BRADLEY HAMILTON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6 11TH AVENUE, SUITE H-3, SHALIMAR, FL 32579
(850) 613-2044
(850) 613-6593
Mailing address
6 11TH AVE, SUITE H-3, SHALIMAR, FL 32579-1374
(850) 613-2044
(850) 613-6593
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346589700
WORKERS COMPENSATION
FL
Enumeration date
10/04/2006
Last updated
06/23/2014
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