| Erika Bradshaw, P.a. | |
|
311 Noland Dr Brandon FL 33511-5727 | |
| (813) 810-1688 | |
| (813) 654-3377 |
| Full Name | Erika Bradshaw, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 311 Noland Dr, Brandon, Florida |
| Authorized Official Name and Position | Erika Bradshaw (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8138101688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erika Bradshaw, P.a. Po Box 3206 Brandon FL 33509-3206 Ph: (813) 810-1688 | Erika Bradshaw, P.a. 311 Noland Dr Brandon FL 33511-5727 Ph: (813) 810-1688 |
| NPI Number | 1417256033 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417256033 | NPI | - | NPPES |
| ME83385 | Other | FL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME83385 (Florida) | Primary |
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