Shannon M Bradley
Shannon M Bradley is a Radiology Clinic/Center in Gainesville, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4340 Newberry Rd Ste 104Gainesville, FL 32607-2557
Phone: (352) 377-3100
Fax: (352) 377-1286
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Specialties & licences
| Radiology Clinic/Center (primary) | Taxonomy 261QR0200X |
|---|
Record details
| NPI number | 1003521683 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2023 |
| Last updated in NPPES | January 18, 2023 |
| Certification date | January 18, 2023 |
| Mailing address | 232 Sw Lenvil Ln, Fort White, FL 32038-4334 |
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