Bradley, Melanie Loretta

Bradley, Melanie Loretta is an sole proprietor health care provider with primary practice located at 101 Marketside Ave Ste 405 , Ponte Vedra FL 32081-1542. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bradley, Melanie Loretta can be contacted via phone (904) 223-9100.

Contact Information

Primary practice address
101 Marketside Ave Ste 405 Ponte Vedra FL 32081-1542
Phone: (904) 223-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS16693 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1760913057
LBN Legal business name Bradley, Melanie Loretta
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2017
Last updated Aug 10th, 2021 - about 5 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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