Individual
DIANE LYNETTE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14543 SW 142ND COURT CIR, MIAMI, FL 33186-5627
(305) 321-6664
Mailing address
14543 SW 142ND COURT CIR, MIAMI, FL 33186-5627
(305) 321-6664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1671072
FL
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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