Individual
DR. BRADLEY CARL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4542
(863) 688-2334
(863) 577-1160
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
(863) 577-1160
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
50439
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
ME146799
FL
2085R0204X
Vascular & Interventional Radiology Physician
50439
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018841
—
AZ
Enumeration date
07/23/2009
Last updated
04/02/2021
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