Individual
DR. BRADLEY WAINORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
6919 MAKERS WAY, APOLLO BEACH, FL 33572-1755
(813) 724-1144
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN39061
FL
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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