Individual
BRADLEY SHAMAR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1507 PARK CENTER DR STE 1K, ORLANDO, FL 32835-5795
(407) 601-2392
Mailing address
7511 HIGH LAKE DR, ORLANDO, FL 32818-8722
(407) 285-7981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA103336
FL
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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