Individual
BRADFORD URICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-9556
(407) 303-1746
Mailing address
3830 AIDEN PL, APOPKA, FL 32703-6860
(407) 808-3292
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME53282
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME53282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054566000
—
FL
01
—
12631
BCBS OF FLORIDA
FL
01
—
300033030
RR MEDICARE
FL
Enumeration date
06/28/2005
Last updated
10/25/2024
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