Individual
BRADLEY J MAKIMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM,FACFAS
Contact information
Practice address
2780 N ROOSEVELT BLVD STE 2, KEY WEST, FL 33040-3930
(305) 294-5553
(305) 294-6670
Mailing address
2780 N ROOSEVELT BLVD STE 2, KEY WEST, FL 33040-3930
(305) 294-5553
(305) 294-6670
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO-0002640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010536600
—
FL
Enumeration date
10/12/2006
Last updated
05/17/2023
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