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Dr. Jerry Allen Bradley JR., MD,EDD,MDIV
Student in an Organized Health Care Education/Training Program in Miami, Florida
NPI 1376882563

Jerry Allen Bradley JR. is a Student in an Organized Health Care Education/Training Program based in Owensboro, FL. Jerry Allen Bradley JR. practices in Miami, FL and has the professional credentials of MD,EDD,MDIV. The NPI Number for Jerry Allen Bradley JR. is 1376882563 and holds a License No. MD.34716 (Florida).

The current practice location address for Jerry Allen Bradley JR. is 1611 Nw 12Th Ave, Miami, FL and can be reached out via phone at 305-585-4310.

Location: 1611 Nw 12Th Ave, Miami, FL, 42301-9681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376882563
Provider Name
Jerry Allen Bradley JR.
Credential
MD,EDD,MDIV
Provider Entity Type
Individual
Gender
Male
Address
1611 Nw 12Th Ave, Miami, FL, 42301-9681
Phone Number
305-585-4310
Fax Number
Provider Enumeration Date
02/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-585-4310
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-585-4310
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
54528 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD.34716 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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