Individual
DR. BARRY J. BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
158 VILLA DI ESTE TER, 104, LAKE MARY, FL 32746-1641
(407) 929-1231
(407) 549-5198
Mailing address
158 VILLA DI ESTE TERRACE, 104, LAKE MARY, FL 32746
(407) 929-1231
(407) 549-5198
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH-3690
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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