Individual
DR. BRAD DOUGLAS TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3599 UNIVERSITY BLVD. S., BLDG. 300, JACKSONVILLE, FL 32216
(904) 399-5550
(904) 346-4334
Mailing address
3599 UNIVERSITY BLVD. S., BLDG. 300, JACKSONVILLE, FL 32216-0000
(904) 399-5550
(904) 346-4334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME103740
FL
Other
Enumeration date
06/19/2006
Last updated
08/22/2017
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