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1538910518
BRADLEY WAINORIS
LAKELAND, FL
NPI
1538910518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL TRN39061)
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
Dr. BRADLEY WAINORIS MD
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
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Mailing Address
Dr. BRADLEY WAINORIS MD
6919 MAKERS WAY
APOLLO BEACH, FL 33572-1755
Phone number: 813-724-1144
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