Organization
TIMOTHY M BRADLEY MD PEDIATRIC ORTHOPEDIC SURGEON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOHTY M BRADLEY M.D. (PRESIDENT)
(813) 833-1028
Entity
Organization
Contact information
Practice address
602 VONDERBURG DR, SUITE 103, BRANDON, FL 33511-5900
(813) 720-8001
Mailing address
602 VONDERBURG DR, SUITE 103, BRANDON, FL 33511-5900
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME87576
FL
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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