Mark Winter Bradley, L.M.T.
NPI #1356408116 in West Melbourne, Florida
Provider Information
- NPI Number
- 1356408116
- Entity Type
- Individual
- Name
- Mark Winter Bradley, L.M.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- L.M.T.
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 756 PREAKNESS DR
- City
- West Melbourne
- State
- Florida
- ZIP Code
- 32904-7310
- Phone
- (321) 749-1924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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Organizations
| Provider Name | |
|---|---|
| Institute of Facial Surgery INC |
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