Individual
DR. BRADLEY DAVID MIDDAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1537 BRANTLEY RD, UNIT A2, FORT MYERS, FL 33907-3923
(239) 481-7799
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 480-2135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC0002377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078638100
—
FL
01
—
19695W
MEDICARE PTAN
FL
Enumeration date
08/15/2005
Last updated
02/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us