Individual
DR. GARY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2854 SE FEDERAL HWY, STUART, FL 34994
(772) 223-0953
(772) 223-0987
Mailing address
2854 SE FEDERAL HWY, STUART, FL 34994-5738
(772) 223-0953
(772) 223-0987
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS12651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015514500
—
FL
Enumeration date
08/23/2011
Last updated
03/22/2024
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