| Todd H Bradford Do Pa | |
|
1210 S Old Dixie Hwy Jupiter FL 33458-7205 | |
| (561) 747-2234 | |
| Not Available |
| Full Name | Todd H Bradford Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1210 S Old Dixie Hwy, Jupiter, Florida |
| Authorized Official Name and Position | Todd Bradford (OMNER) |
| Authorized Official Contact | 5617482889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd H Bradford Do Pa 11231 Us Highway 1 # 143 North Palm Beach FL 33408-3216 Ph: (561) 748-1523 | Todd H Bradford Do Pa 1210 S Old Dixie Hwy Jupiter FL 33458-7205 Ph: (561) 747-2234 |
| NPI Number | 1326587411 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 8729356019 |
|---|---|
| Medicare Enrollment ID | O20170608002341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326587411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8366 (Florida) | Primary |
| Provider Name | Todd H Bradford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245267442 PECOS PAC ID: 0547249534 Enrollment ID: I20040714000871 |
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