Fagerberg, Bradlee

Fagerberg, Bradlee is an individual health care provider with primary practice located at 9330 Fl-54 , Trinity FL 34655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Fagerberg, Bradlee can be contacted via phone (727) 834-4000.

Contact Information

Primary practice address
9330 Fl-54 Trinity FL 34655
Phone: (727) 834-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X

Profile Details

NPI number 1609438316
LBN Legal business name Fagerberg, Bradlee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Jul 2nd, 2019 - about 5 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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