BRADLEY D FOURAKER MD LLC

TAMPA, FL
NPI1235311523
Entity TypeOrganization
Authorized ContactBRADLEY D FOURAKER
President
813-287-2121
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: FL  ME60284)
Enumeration Date2007-11-29
Last Update Date2019-07-24
Business Address
BRADLEY D FOURAKER MD LLC
4905 W BAY WAY PL
TAMPA, FL 33629-4833
Phone number: 813-287-2121
Mailing Address
BRADLEY D FOURAKER MD LLC
4905 W BAY WAY PL
TAMPA, FL 33629-4833
Phone number: 813-287-2121