Bradley, Trasse D.

Bradley, Trasse D. is an individual health care provider with primary practice located at 1301 Palm Ave , Jacksonville FL 32207-8432. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bradley, Trasse D. can be contacted via phone (904) 202-7300.

Contact Information

Primary practice address
1301 Palm Ave Jacksonville FL 32207-8432
Phone: (904) 202-7300
Fax: (904) 202-7433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106836 Florida
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X PA9106836 Florida

Profile Details

NPI number 1770834764
LBN Legal business name Bradley, Trasse D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2012
Last updated May 5th, 2023 - about 3 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 1770834764 NPPES
Florida MEDICAID 0087529-00
Florida MEDICAID 003138114A

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