Organization
BRADDY SERVICES INC
Active
Organization
BRADDY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA LOWE (AREAOFFICE MANAGER)
(727) 237-5394
Entity
Organization
Contact information
Practice address
4117 COX DR, LAND O LAKES, FL 34639-3929
(813) 363-3964
(813) 996-1209
Mailing address
4117 COX DR, LAND O LAKES, FL 34639-3929
(813) 363-3964
(813) 996-1209
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
F
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6842704
—
FL
Enumeration date
05/02/2007
Last updated
07/21/2022
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