| Bradford Lively, PA-C | |
|
2802 Tanglewylde Dr, Land O Lakes, FL 34638-7796 | |
| (813) 785-5579 | |
| Not Available |
| Full Name | Bradford Lively |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2802 Tanglewylde Dr, Land O Lakes, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134846835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Lively, PA-C 2802 Tanglewylde Dr, Land O Lakes, FL 34638-7796 Ph: (813) 785-5579 | Bradford Lively, PA-C 2802 Tanglewylde Dr, Land O Lakes, FL 34638-7796 Ph: (813) 785-5579 |
Miss Maram Ahmad Yousef, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3632 Land O Lakes Blvd Ste 101, Land O Lakes, FL 34639 Phone: 813-606-5668 | |
Samantha Marie Dressel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Via Bella Blvd Ste 204, Land O Lakes, FL 34639 Phone: 813-751-3636 Fax: 813-377-1678 | |
Leila Shammout, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2100 Via Bella Blvd Ste 204, Land O Lakes, FL 34639 Phone: 813-751-3636 Fax: 813-377-1678 | |
Mrs. Angela Patricia Sommers Cormier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5810 Candytuft Pl, Land O Lakes, FL 34639 Phone: 813-435-3897 Fax: 866-404-2708 | |
Glenn Maclean, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Via Bella Blvd, Suite 101, Land O Lakes, FL 34639 Phone: 813-948-1498 Fax: 813-909-8113 | |
Michael S Mcnulty, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 22928 Eagles Watch Dr, Land O Lakes, FL 34639 Phone: 813-929-0733 Fax: 813-903-4812 |