Individual
BRADFORD ALAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 842-8411
(877) 917-2336
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME123804
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015267900
—
FL
Enumeration date
03/17/2010
Last updated
11/30/2023
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