person
Mr. Bradley James Wine, RN
Medical-Surgical Registered Nurse in Jacksonville, Florida
NPI 1013553650

Bradley James Wine is a Medical-Surgical Registered Nurse based in Omaha, FL and is specialized in Medical-Surgical. Bradley James Wine practices in Jacksonville, FL and has the professional credentials of RN. The NPI Number for Bradley James Wine is 1013553650 and holds a License No. RN9524431 (Florida).

The current practice location address for Bradley James Wine is 800 Prudential Dr, Jacksonville, FL and can be reached out via phone at 904-202-2000. You can also correspond with Bradley James Wine through the mailing address at 1010 N 102ND ST STE 300, OMAHA, NE - 68114-2122 (mailing address contact number: 904-202-2000).

Location: 800 Prudential Dr, Jacksonville, FL, 68114-2122
person
Provider Profile Details
NPI Number
1013553650
Provider Name
Bradley James Wine
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
800 Prudential Dr, Jacksonville, FL, 68114-2122
Phone Number
904-202-2000
Fax Number
Provider Enumeration Date
11/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Prudential Dr
City
State
Zip
32207-8202
Phone Number
904-202-2000
Fax Number
person
Provider Business Mailing Address Details
Address
800 Prudential Dr
City
State
Zip
32207-8202
Phone Number
904-202-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
RN9524431 (Florida)
Definition
Definition to come...
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