Orville, Bradley W

Orville, Bradley W is an individual health care provider with primary practice located at 3340 Tamiami Trl , Port Charlotte FL 33952-8088. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Orville, Bradley W can be contacted via phone (941) 764-5858.

Contact Information

Primary practice address
3340 Tamiami Trl Port Charlotte FL 33952-8088
Phone: (941) 764-5858
Fax: (941) 764-1657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002022 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110580 Florida

Profile Details

NPI number 1922088616
LBN Legal business name Orville, Bradley W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 14th, 2025 - about last year

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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