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Organization

KEITH BRADY, M.D., P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH BRADY MD (MEDICAL DOCTOR)
(727) 820-7992
Entity
Organization

Contact information

Practice address
1201 5TH AVE N, SUITE 412, ST PETERSBURG, FL 33705-1400
(727) 820-7992
(727) 820-7901
Mailing address
1201 5TH AVE N, SUITE 412, ST PETERSBURG, FL 33705-1400
(727) 820-7992
(727) 820-7901

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME37799
FL

Other

Enumeration date
06/08/2012
Last updated
07/26/2012
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