DR. BRADLEY M WOODHAM, D.M.D.
Dentist at Winkler Rd, Fort Myers, FL

License number
Florida DN 17101
Category
Dentist
Type
General Practice
Address
Address
6120 Winkler Rd STE I, Fort Myers, FL 33919
Phone
(239) 481-6433
(239) 481-6455 (Fax)
National Provider ID: 1437139623
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Bradley M Woodham DDS

6120 Winkler Rd STE I, Fort Myers, FL 33919

Categories:
Dentists
Phone:
(239) 481-6433 (Phone)

BRADLEY M. WOODHAM, D.M.D., PA

Fort Myers, FL  -  Cape Coral, FL

Status:
Inactive
Inactive reason:
Amendment
Registration:
Jun 21, 2013
Inactive since:
Aug 30, 2013
Addresses:
6120 Winkler Rd STE I, Fort Myers, FL 33919 (Physical)
2685 Bellingham Ct, Cape Coral, FL 33991 (Physical)
521 Cpe Coral Pkwy W, Cape Coral, FL 33914
State ID:
P13000054128
Business type:
Florida Profit Corporation
Secretary, Director, President, Treasurer:
Bradley M Woodham (Secretary, Director, President, Treasurer), 1714 SW 11 Ave, Cape Coral, FL 33991 (Physical)
2685 Bellingham Ct, Cape Coral, FL 33991 (Physical)
Agent:
Woodham, Bradley M, Dr,6120 Winkler Rd, Fort Myers, FL 33919 (Physical)
EIN:
90-1003080

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