Perez, Bradford Alan

Perez, Bradford Alan is an individual health care provider with primary practice located at 9320 State Road 54 , Trinity FL 34655-1808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Perez, Bradford Alan can be contacted via phone (727) 842-8411.

Contact Information

Primary practice address
9320 State Road 54 Trinity FL 34655-1808
Phone: (727) 842-8411
Fax: (877) 917-2336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME123804 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1578887725
LBN Legal business name Perez, Bradford Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2010
Last updated Nov 30th, 2023 - about 2 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 1578887725 NPPES
Florida MEDICAID 015267900

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