Bradley Michael Witherell
Bradley Michael Witherell is an Independent Duty Corpsman in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2104 Massey Ave Bldg 2104Jacksonville, FL 32228-0148
Phone: (904) 270-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1487161816 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2018 |
| Last updated in NPPES | April 15, 2025 |
| Certification date | April 9, 2025 |
| Mailing address | 2104 Massey Ave Building 2104, Jacksonville, FL 32228-0148 |
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