BRADLEY W ORVILLE

PORT CHARLOTTE, FL
NPI1922088616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110580)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5601002022)
Enumeration Date2006-01-19
Last Update Date2025-02-14
Business Address
BRADLEY W ORVILLE PA-C
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952-8088
Phone number: 941-764-5858
Mailing Address
BRADLEY W ORVILLE PA-C
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: