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1629772231
BRADLEY DAVIS JACK KLEINERT
PLANTATION, FL
NPI
1629772231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL 9117215)
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
BRADLEY DAVIS JACK KLEINERT PA-C
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322-5426
Phone number: 954-370-8585
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Mailing Address
BRADLEY DAVIS JACK KLEINERT PA-C
1591 NW 102ND WAY
CORAL SPRINGS, FL 33071-3916
Phone number:
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