Individual
THOMAS BRADLEY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11603 SHELDON RD, RESTORE BRAIN SPORT AND SPINE, TAMPA, FL 33626-4306
(516) 680-8080
Mailing address
11603 SHELDON RD, TAMPA, FL 33626-4306
(727) 935-4142
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME124236
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME124236
FL
208VP0000X
Pain Medicine Physician
ME124236
FL
Other
Enumeration date
08/18/2007
Last updated
11/12/2024
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