Organization
ERIKA BRADSHAW, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA BRADSHAW M.D. (PHYSICIAN/OWNER)
(813) 810-1688
Entity
Organization
Contact information
Practice address
311 NOLAND DR, BRANDON, FL 33511-5727
(813) 810-1688
(813) 654-3377
Mailing address
PO BOX 3206, BRANDON, FL 33509-3206
(813) 810-1688
(813) 654-3377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME83385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME83385
LICENSE NUMBER
FL
Enumeration date
03/22/2011
Last updated
03/22/2011
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