Individual
BRADLEY JAMES EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
529 TIMBERLANE DR, MACCLENNY, FL 32063-2278
(904) 254-6640
Mailing address
529 TIMBERLANE DR, MACCLENNY, FL 32063-2278
(904) 254-6640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3414892
FL
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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