Individual
BRADLEY NEAL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1893 KINGSLEY AVE STE C&D, ORANGE PARK, FL 32073-4491
(904) 276-2041
(904) 279-2106
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9343369
FL
363LF0000X
Family Nurse Practitioner
ARNP9343369
FL
363LF0000X
Family Nurse Practitioner
RN276305
GA
Other
Enumeration date
07/14/2017
Last updated
08/30/2019
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