Individual
JOHN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9015 TOWN CENTER PKWY, SUITE 103, LAKEWOOD RANCH, FL 34202-5012
(941) 202-0074
Mailing address
1832 E LEEWYNN DR, SARASOTA, FL 34240-9635
(941) 202-0074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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