Individual
BRAD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
187 S WICKHAM RD, SUITE 2, MELBOURNE, FL 32904-1123
(321) 951-4144
Mailing address
6300 N WICKHAM RD, SUITE 101, MELBOURNE, FL 32940-2028
(321) 253-2169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10252
FL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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