Individual
DR. BRADLEY GEORGE WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., D.C.
Contact information
Practice address
2255 N. WICKHAM RD. #109, MELBOURNE, FL 32935
(321) 253-8511
(321) 253-8711
Mailing address
2255 N. WICKHAM RD. #109, MELBOURNE, FL 32935
(321) 253-8511
(321) 253-8711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381334700
—
FL
Enumeration date
11/22/2005
Last updated
10/20/2009
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