Individual
JAMIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
5290 SEMINOLE BLVD STE F, ST PETERSBURG, FL 33708-3369
(727) 800-4411
Mailing address
5290 SEMINOLE BLVD STE F, ST PETERSBURG, FL 33708-3369
(727) 800-4411
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7323
FL
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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