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Dr. Bradley A Wallace, MD
Neurological Surgery Physician in Jacksonville, Florida
NPI 1134160161

Bradley A Wallace is a Neurological Surgery Physician based in Jacksonville, FL. Bradley A Wallace practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Bradley A Wallace is 1134160161 and holds a License No. ME91779 (Florida).

The current practice location address for Bradley A Wallace is 800 Prudential Dr, Jacksonville, FL and can be reached out via phone at 904-388-6518 and via fax at 904-384-1005.

Location: 800 Prudential Dr, Jacksonville, FL, 32207-8202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134160161
Provider Name
Bradley A Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Prudential Dr, Jacksonville, FL, 32207-8202
Phone Number
904-388-6518
Fax Number
904-384-1005
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2744978500 05 FL
institution
Provider Business Practice Location Address Details
Address
800 Prudential Dr
City
Jacksonville
State
Florida
Zip
32207-8202
Phone Number
904-388-6518
Fax Number
904-384-1005
person
Provider Business Mailing Address Details
Address
800 Prudential Dr
City
Jacksonville
State
Florida
Zip
32207-8202
Phone Number
904-388-6518
Fax Number
904-384-1005
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
ME91779 (Florida)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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