Individual
DR. BRADLEY F HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 VENETIA BAY BLVD STE 110, VENICE, FL 34285-8042
(941) 484-4778
(941) 485-8063
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME112717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01158397
RAILROAD MEDICARE
FL
Enumeration date
07/12/2006
Last updated
05/07/2024
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