Individual
DR. MICHAEL WARD BRADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 W. DR. MARTIN LUTHER KING JR. BLVD., MAB-2ND FLOOR, TAMPA, FL 33607-6307
(813) 321-6580
(813) 443-8135
Mailing address
3003 W DR MARTIN LUTHER KING JR BLVD FL 2, TAMPA, FL 33607-6307
(813) 321-6580
(813) 443-8185
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME107051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008498300
—
FL
Enumeration date
08/15/2007
Last updated
03/14/2022
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