Bradley, Shannon M

Bradley, Shannon M is an sole proprietor health care provider with primary practice located at 4340 Newberry Rd Ste 104 , Gainesville FL 32607-2557. She recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as her primary health care specialty. Bradley, Shannon M can be contacted via phone (352) 377-3100.

Contact Information

Primary practice address
4340 Newberry Rd Ste 104 Gainesville FL 32607-2557
Fax: (352) 377-1286
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1003521683
LBN Legal business name Bradley, Shannon M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2023
Last updated Jan 18th, 2023 - about last year

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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