Individual
BRADLEY A HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12276 SAN JOSE BLVD STE 606, JACKSONVILLE, FL 32223-8672
(904) 268-6993
(904) 260-1523
Mailing address
12276 SAN JOSE BLVD STE 606, JACKSONVILLE, FL 32223-8672
(904) 268-6993
(904) 260-1523
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO2789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390492000
—
FL
Enumeration date
02/21/2006
Last updated
04/17/2024
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