Organization
TED H. BRADY,D.O.,PA
Active
Other names
TED H. BRADY,D.O.,PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED HUGH BRADY D.O. (OWNER)
(954) 721-3008
Entity
Organization
Contact information
Practice address
7710 NW 71ST CT, STE 203, TAMARAC, FL 33321-2973
(954) 721-3008
(954) 721-3088
Mailing address
7710 NW 71ST CT, STE 203, TAMARAC, FL 33321-2973
(954) 721-3008
(954) 721-3088
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS5247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370532300
—
FL
Enumeration date
11/10/2016
Last updated
11/10/2016
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