Individual
BRADLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5189 PINE ABBEY DRIVE SOUTH, WEST PALM BEACH, FL 33415
(561) 371-0644
Mailing address
5189 PINE ABBEY DRIVE SOUTH, WEST PALM BEACH, FL 33415
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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