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Individual

DR. TERENCE PATRICK BRADEN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 380-6041
(863) 284-1781
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKELAND, FL 33805-4543

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
N-8253
AR
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS12483
FL

Other

Enumeration date
07/26/2006
Last updated
07/30/2022
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