NPI | 1366984122 |
---|---|
Former Legal Business Name | TED H. BRADY,D.O.,PA |
Entity Type | Organization |
Authorized Contact | TED HUGH BRADY Owner 954-721-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS5247) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2016-11-10 |