Individual
BRADLEY UMDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AP
Contact information
Practice address
1209 LAKESIDE DR, BRANDON, FL 33510-4109
(813) 661-3662
(813) 661-0515
Mailing address
1209 LAKESIDE DR, BRANDON, FL 33510-4109
(813) 661-3662
(813) 661-0515
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2525
FL
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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