Individual
JOHN DAVID BRADSHAW
Active
Individual
JOHN DAVID BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2019-02392
NC
207LP3000X
Pediatric Anesthesiology Physician
ME129022
FL
390200000X
Student in an Organized Health Care Education/Training Program
18347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024846300
—
FL
Enumeration date
05/09/2013
Last updated
10/28/2019
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