Individual
BRADLEY RYAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 733-0800
Mailing address
1329 SW 16TH ST STE 5270, GAINESVILLE, FL 32608-1128
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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