Individual
BRADLEY DARNELL LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4950 4TH AVE S, ST PETERSBURG, FL 33707-1918
(813) 442-3982
Mailing address
PO BOX 56362, ST PETERSBURG, FL 33732-6362
(813) 442-3982
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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