Individual
DR. BRADLEY STEWART MOFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
1611 NW 12TH AVE, HOLTZ CHILDRENS CENTER ROOM 2169, MIAMI, FL 33136-1005
(305) 355-4933
Mailing address
1611 NW 12TH AVE, HOLTZ CHILDRENS CENTER ROOM 2169, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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