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1235311523
BRADLEY D FOURAKER MD LLC
TAMPA, FL
NPI
1235311523
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Entity Type
Organization
Authorized Contact
BRADLEY D FOURAKER
President
813-287-2121
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME60284)
Enumeration Date
2007-11-29
Last Update Date
2019-07-24
Business Address
BRADLEY D FOURAKER MD LLC
4905 W BAY WAY PL
TAMPA, FL 33629-4833
Phone number: 813-287-2121
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Mailing Address
BRADLEY D FOURAKER MD LLC
4905 W BAY WAY PL
TAMPA, FL 33629-4833
Phone number: 813-287-2121
Copy
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