Organization
BRADLEY C HAVES DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY C HAVES DPM (PRESIDENT)
(305) 261-2226
Entity
Organization
Contact information
Practice address
5840 W FLAGLER ST, SUITE 3, MIAMI, FL 33144-3399
(305) 261-2226
(305) 261-2210
Mailing address
5840 W FLAGLER ST, SUITE 3, MIAMI, FL 33144-3399
(305) 261-2226
(305) 261-2210
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4385260001
PALMETTO GBA
FL
Enumeration date
07/02/2007
Last updated
08/22/2020
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