Bradford, Jill Kristen

Bradford, Jill Kristen is an sole proprietor health care provider with primary practice located at 1800 Se Tiffany Ave , Port St Lucie FL 34952-7521. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bradford, Jill Kristen can be contacted via phone (772) 335-4000.

Contact Information

Primary practice address
1800 Se Tiffany Ave Port St Lucie FL 34952-7521
Phone: (772) 335-4000
Fax: (772) 398-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL1271 Florida

Profile Details

NPI number 1871605501
LBN Legal business name Bradford, Jill Kristen
Credentials MSED, ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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