BRADLEY D FOURAKER

BRANDON, FL
NPI1467445866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: FL  ME0060284)
Additional Taxonomies207WX0120X Ophthalmology, Cornea and External Diseases Specialist
(Licence: FL  ME60284)
Enumeration Date2005-08-31
Last Update Date2019-07-24
Business Address
BRADLEY D FOURAKER MD
403 VONDERBURG DR STE 101
BRANDON, FL 33511-5982
Phone number: 813-681-1122
Mailing Address
BRADLEY D FOURAKER MD
403 VONDERBURG DR
BRANDON, FL 33511-5982
Phone number: 813-681-1122