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Bradley D Fouraker, MD
Ophthalmology Physician in Brandon, Florida
NPI 1467445866

Bradley D Fouraker is a Ophthalmology Physician based in Brandon, FL. Bradley D Fouraker practices in Brandon, FL and has the professional credentials of MD. The NPI Number for Bradley D Fouraker is 1467445866 and holds a License No. ME60284 (Florida).

The current practice location address for Bradley D Fouraker is 403 Vonderburg Dr, Brandon, FL and can be reached out via phone at 813-681-1122 and via fax at 813-684-4924. You can also correspond with Bradley D Fouraker through the mailing address at 403 VONDERBURG DR, BRANDON, FL - 33511-5982 (mailing address contact number: 813-681-1122).

Location: 403 Vonderburg Dr, Brandon, FL, 33511-5982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467445866
Provider Name
Bradley D Fouraker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
403 Vonderburg Dr, Brandon, FL, 33511-5982
Phone Number
813-681-1122
Fax Number
813-684-4924
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4414165 01 FL AETNA
1674799 01 FL CIGNA
14958 01 FL BCBS FORIDA
2439747 01 FL AETNA
0498749 01 NY GHI
370277400 05 FL
institution
Provider Business Practice Location Address Details
Address
403 Vonderburg Dr
City
Brandon
State
Florida
Zip
33511-5982
Phone Number
813-681-1122
Fax Number
813-684-4924
person
Provider Business Mailing Address Details
Address
403 Vonderburg Dr
City
Brandon
State
Florida
Zip
33511-5982
Phone Number
813-681-1122
Fax Number
813-684-4924
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
ME0060284 (Florida)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Cornea and External Diseases Specialist
Taxonomy
207WX0120X
License No.
ME60284 (Florida)
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
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