Bradley, Julie Ann

Bradley, Julie Ann is an individual health care provider with primary practice located at 2015 Jefferson St , Jacksonville FL 32206-3531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Bradley, Julie Ann can be contacted via phone (904) 588-1800.

Contact Information

Primary practice address
2015 Jefferson St Jacksonville FL 32206-3531
Phone: (904) 588-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME113008 Florida

Profile Details

NPI number 1588837793
LBN Legal business name Bradley, Julie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Mar 12th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588837793 NPPES
Florida MEDICAID 006340900
Florida Other 14MOE

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