Cherry, Bradley Alan

Cherry, Bradley Alan is an sole proprietor health care provider with primary practice located at 109 Nature Walk Parkway Suite 106, St. Augustine FL 32092. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cherry, Bradley Alan can be contacted via phone (904) 230-6399.

Contact Information

Primary practice address
109 Nature Walk Parkway Suite 106 St. Augustine FL 32092
Phone: (904) 230-6399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN17470 Florida

Profile Details

NPI number 1942399852
LBN Legal business name Cherry, Bradley Alan
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 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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