Brady, Craig A

Brady, Craig A is an individual health care provider with primary practice located at 3105 Citrus Tower Blvd , Clermont FL 34711-6892. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Brady, Craig A can be contacted via phone (352) 259-2159.

Contact Information

Primary practice address
3105 Citrus Tower Blvd Clermont FL 34711-6892
Phone: (352) 259-2159
Fax: (352) 259-5731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3170072 Florida

Profile Details

NPI number 1043253768
LBN Legal business name Brady, Craig A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 14th, 2022 - about 4 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 1043253768 NPPES
Florida MEDICAID 304838100

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