Individual
BRADLEY SUSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
434 W KENNEDY BLVD, ORLANDO, FL 32810-6237
(407) 875-3700
(407) 532-1051
Mailing address
434 W KENNEDY BLVD, ORLANDO, FL 32810-6237
(407) 875-3700
(407) 532-1051
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2729652
FL
Other
Enumeration date
08/07/2014
Last updated
08/19/2014
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