Organization
BRADBERRY CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WAYNE BRADBERRY D.C. (PRESIDENT)
(727) 459-6672
Entity
Organization
Contact information
Practice address
405 SEMINOLE BLVD, LARGO, FL 33770-3620
(727) 581-2774
(727) 581-3199
Mailing address
11566 DECLARATION DR, TAMPA, FL 33635-6341
(727) 459-6672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10777
FL
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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