Wine, Bradley James

Wine, Bradley James is an sole proprietor health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8202. He recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as his primary health care specialty. Wine, Bradley James can be contacted via phone (904) 202-2000.

Contact Information

Primary practice address
800 Prudential Dr Jacksonville FL 32207-8202
Phone: (904) 202-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN9524431 Florida

Profile Details

NPI number 1013553650
LBN Legal business name Wine, Bradley James
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 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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