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1972509495
BRADLEY TAN
LAKELAND, FL
NPI
1972509495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME70358)
Enumeration Date
2005-06-21
Last Update Date
2022-07-21
Business Address
BRADLEY TAN M.D.
3030 HARDEN BLVD
LAKELAND, FL 33803-7952
Phone number: 863-284-5000
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Mailing Address
BRADLEY TAN M.D.
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT.
LAKELAND, FL 33805-4543
Phone number:
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