BRADLEY P BANGSTAD

GAINESVILLE, FL
NPI1013935006
Professional NameBRAD BANGSTAD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC 1898)
Enumeration Date2006-07-17
Last Update Date2014-12-29
Business Address
-- BRADLEY P BANGSTAD O.D.
4220 NW 16TH BLVD
GAINESVILLE, FL 32605-3508
Phone number: 352-331-5440
Mailing Address
-- BRADLEY P BANGSTAD O.D.
4220 NW 16TH BLVD
GAINESVILLE, FL 32605-3508
Phone number: 352-331-5440