Bradley D Fouraker MD LLC

NPI #1235311523 in Tampa, Florida

Provider Information

NPI Number: 1235311523
Entity Type: Organization
Organization Name: Bradley D Fouraker MD LLC
Primary Specialty: Ophthalmology
Enumeration Date: Nov 29, 2007
Last Updated: Jul 24, 2019

Practice Location

Address: 4905 W BAY WAY PL
City: Tampa
State: Florida
ZIP Code: 33629-4833
Phone: (813) 287-2121

Authorized Official

Name: BRADLEY D FOURAKER, MD
Title: PRESIDENT
Phone: (813) 287-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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