Giedd, Bradley Scott

Giedd, Bradley Scott is an individual health care provider with primary practice located at 1928 Howell Branch Rd , Winter Park FL 32792-1013. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Giedd, Bradley Scott can be contacted via phone (407) 671-5445.

Contact Information

Primary practice address
1928 Howell Branch Rd Winter Park FL 32792-1013
Phone: (407) 671-5445
Fax: (407) 671-2899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3115 Florida

Profile Details

NPI number 1679551444
LBN Legal business name Giedd, Bradley Scott
Credentials O.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jun 17th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679551444 NPPES
Florida MEDICAID 6205780

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