Individual
BRADLEY DISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5410 EAST AVE, WEST PALM BEACH, FL 33407-2344
(954) 551-4814
Mailing address
5410 EAST AVE, WEST PALM BEACH, FL 33407-2344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881792745
NPI
FL
Enumeration date
10/09/2020
Last updated
10/09/2020
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