Smurr, Bradley Jackson

Smurr, Bradley Jackson is an individual health care provider with primary practice located at 13940 7Th St , Dade City FL 33525-4904. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smurr, Bradley Jackson can be contacted via phone (352) 521-3011.

Contact Information

Primary practice address
13940 7Th St Dade City FL 33525-4904
Phone: (352) 521-3011
Fax: (352) 521-7163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2393 Florida

Profile Details

NPI number 1245210483
LBN Legal business name Smurr, Bradley Jackson
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Jul 21st, 2008 - about 16 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 1245210483 NPPES
Florida Other 20246 BCBS
Florida Other 4609006 BCBS

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