Individual
DR. BRADLEY M MACHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
27 S US HIGHWAY 17/92, SUITE 2, DEBARY, FL 32713-3356
(386) 753-1177
(386) 753-1115
Mailing address
27 S US HIGHWAY 17/92, SUITE 2, DEBARY, FL 32713-3356
(386) 753-1177
(386) 753-1115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22304
BLUE CROSS BLUE SHIELD
FL
01
—
350055647
RAILROAD MEDICARE
FL
Enumeration date
07/18/2006
Last updated
12/07/2011
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