Individual
BRAD S DAMIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(904) 346-0113
Mailing address
PO BOX 19726, MIAMI, FL 33101-9726
(772) 465-9770
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0044433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94367
BCBS
FL
Enumeration date
08/31/2006
Last updated
07/08/2007
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