Todd, Bradley P

Todd, Bradley P is an sole proprietor health care provider with primary practice located at 3367 Galt Ocean Drive , Fort Lauderdale FL 33308-7002. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Todd, Bradley P can be contacted via phone (954) 566-2580.

Contact Information

Primary practice address
3367 Galt Ocean Drive Fort Lauderdale FL 33308-7002
Phone: (954) 566-2580
Fax: (954) 566-8929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO 3045 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO 3045 Florida

Profile Details

NPI number 1285631382
LBN Legal business name Todd, Bradley P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Dec 3rd, 2008 - about 18 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 1285631382 NPPES
Florida MEDICAID 340373400

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