Bradley Thomas Corbin, | |
1825 Kingsley Ave Ste 390, Orange Park, FL 32073-4484 | |
(904) 639-2260 | |
(904) 272-1986 |
Full Name | Bradley Thomas Corbin |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1825 Kingsley Ave Ste 390, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104259548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME158618 (Florida) | Primary |
Entity Name | Obhg Wisconsin Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278 |
Mailing Address | Practice Location Address |
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Bradley Thomas Corbin, 1825 Kingsley Ave Ste 390, Orange Park, FL 32073-4484 Ph: (904) 639-2260 | Bradley Thomas Corbin, 1825 Kingsley Ave Ste 390, Orange Park, FL 32073-4484 Ph: (904) 639-2260 |
Dr. Kathi A. Aultman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1680 Eagle Harbor Pkwy, Suite A, Orange Park, FL 32003 Phone: 904-264-9555 Fax: 904-215-7960 | |
Irene Moridi, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1825 Kingsley Ave Ste 390, Orange Park, FL 32073 Phone: 904-639-2260 | |
Miss Angela Sue Collier, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1680 Eagle Harbor Pkwy Ste A, Orange Park, FL 32003 Phone: 904-264-9555 Fax: 904-215-7960 | |
Dr. Jessica L Marshall-ayuso, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1560 Kingsley Ave Ste 4, Orange Park, FL 32073 Phone: 904-264-1628 | |
Arjav A. Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1680 Eagle Harbor Pkwy Ste A, Orange Park, FL 32003 Phone: 904-264-9555 Fax: 904-215-7960 | |
Eric J. Edelenbos, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1680 Eagle Harbor Pkwy Ste A, Orange Park, FL 32003 Phone: 904-264-9555 Fax: 904-215-7960 |