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BRADLEY A HABUDA DPM

>> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1740280759

Individual Registrant:
 BRADLEY A HABUDA DPM
Gender: M
Not Sole Proprietor

Location and contact information for practice:
16251 N CLEVELAND AVE SUITE 7 N FT MYERS, FL 33903-2176 US
Tel: 239-656-6565  Fax: 239-656-3081

Contact information for business:
16251 N CLEVELAND AVE SUITE 7 N FT MYERS, FL 33903-2176 US
Tel: 239-656-6565  Fax: 239-656-3081

Registration Information:
NPI: 1740280759
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
FLPO3188

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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