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Contact Information

LARRY D BRADLEY
10423 N KENDALL DRIVE UNIT C-207
MIAMI, FL33176
 Phone: 786-218-3976
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LARRY D BRADLEY · (Male)

NPI Number 1013304450
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2015
Last updated 04/23/2015 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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