Todd, Bradley P
Todd, Bradley P is an sole proprietor health care provider with primary practice located at 3367 Galt Ocean Drive , Fort Lauderdale FL 33308-7002. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Todd, Bradley P can be contacted via phone (954) 566-2580.Contact Information
Primary practice address
3367 Galt Ocean Drive
Fort Lauderdale FL 33308-7002
Phone: (954) 566-2580
Fax: (954) 566-8929
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO 3045 | Florida |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO 3045 | Florida |
Profile Details
NPI number | 1285631382 |
---|---|
LBN Legal business name | Todd, Bradley P |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2005 |
Last updated | Dec 3rd, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285631382 | NPPES |
Florida | MEDICAID | 340373400 |
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