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Contact Information

MISSY A BRADBURN
2010 MIZELL AVENUE
WINTER PARK, FL32792
 Phone: 813-988-7633
 Fax: 813-914-0403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MISSY A BRADBURN · (Female)

NPI # 1508010141
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2008
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
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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