Randall L Braddom MD LLC
NPI #1457820920 in The Villages, Florida
Provider Information
- NPI Number
- 1457820920
- Entity Type
- Organization
- Organization Name
- Randall L Braddom MD LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Nov 14, 2018
- Last Updated
- Nov 14, 2018
Practice Location
- Address
- 1451 EL CAMINO REAL
- City
- The Villages
- State
- Florida
- ZIP Code
- 32159-0041
- Phone
- (352) 751-8000
Authorized Official
- Name
- RANDALL L BRADDOM, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (908) 601-7036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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