TODD H BRADFORD DO PA
Marriage and Family Therapists at Old Dixie Hwy, Jupiter, FL

License number
Florida OS8366
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. TODD BRADFORD DO
Title: OMNER
Phone: (561) 748-2889
Address
Address 2
1210 S Old Dixie Hwy, Jupiter, FL 33458
11231 Us Highway 1 #143, West Palm Beach, FL 33408
National Provider ID: 1326587411
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TODD H. BRADFORD, DO, PA

11231 Us Hwy 1 BOX 143, North Palm Beach, FL 33408

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 27, 2006
Inactive since:
Sep 26, 2008
State ID:
P06000043745
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director, Vice President:
Todd H Bradford President, Treasurer, Secretary, Director, Vice President, inactive, 11231 Us Hwy 1 BOX 143, North Palm Beach, FL 33408 (Physical)
Agent:
Todd Bradford,11231 Us Hwy 1 BOX 143, North Palm Beach, FL 33408 (Physical)
EIN:
20-4539852

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