ERIKA BRADSHAW, P.A.
Osteopathic Medicine at Noland Dr, Brandon, FL

License number
Florida ME83385
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: ERIKA BRADSHAW M.D.
Title: PHYSICIAN/OWNER
Phone: (813) 810-1688
Address
Address
311 Noland Dr, Brandon, FL 33511
National Provider ID: 1417256033
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERIKA BRADSHAW PA

Brandon, FL

Industry:
Nonclassifiable Establishments
Registration:
Apr 20, 2007
Addresses:
311 Noland Dr, Brandon, FL 33511 (Physical)
Brandon, FL 33509 (Mailing)
PO Box 3206, Brandon, FL 33509
State ID:
P07000048479
Business type:
Florida Profit Corporation
President:
Erika Bradshaw (President), PO Box 3206, Brandon, FL 33509 (Physical)
Agent:
Bradshaw, Erika,2810 San Rafael St, Tampa, FL 33629 (Physical)
EIN:
550813551

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