BRADLEY JAMES WINE

JACKSONVILLE, FL
NPI1013553650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: FL  RN9524431)
Enumeration Date2019-11-19
Last Update Date2019-11-19
Business Address
Mr. BRADLEY JAMES WINE RN
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8202
Phone number: 904-202-2000
Mailing Address
Mr. BRADLEY JAMES WINE RN
1010 N 102ND ST STE 300
OMAHA, NE 68114-2122
Phone number: 904-202-2000