Individual
MR. BRADLEY NEIL REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(855) 979-5700
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107903
FL
Other
Enumeration date
05/07/2014
Last updated
09/09/2020
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