Timothy M Bradley,md Sc

NPI 1275873275 - Plastic Surgery - 2082S0105X

NPI Details
NPI 1275873275
Enumeration Date 02/27/2013
Last Updated 02/27/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TIMOTHY MICHAEL TIMOTHY
Position PRESIDENT
Phone (850) 533-0865
Fax (850) 314-7005
Practice Location
1032 MAR WALT DR
SUITE 240
FORT WALTON BEACH FL, 32547-6661, US
Phone (850) 533-0865
Fax (850) 314-7005
Business Location
PO BOX 747
FORT WALTON BEACH FL, 32549-0747, US
Phone (618) 531-3199
Fax
Toxanomy
Taxonomy Code 2082S0105X
License State Florida
License Number ME111099
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According to our database, Timothy M Bradley,md Sc NPI is 1275873275, taxonomy code is 2082S0105X and license number is ME111099, license state is located at Florida. Timothy M Bradley,md Sc physically located at 1032 Mar Walt Dr, Fort Walton Beach FL, 32547-6661. NPI Number 1033115704 has the healthcare provider type.

1275873275 NPI number is provided on an as is basis without warranty of any kind. 1275873275 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy M Bradley,md Sc are for informational purposes only.