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Phuong Diep Bradford, APRN
Family Nurse Practitioner in Tampa, Florida
NPI 1982203915

Phuong Diep Bradford is a Family Nurse Practitioner based in Tampa, FL and is specialized in Family. Phuong Diep Bradford practices in Tampa, FL and has the professional credentials of APRN. The NPI Number for Phuong Diep Bradford is 1982203915 and holds a License No. APRN11007879 (Florida).

The current practice location address for Phuong Diep Bradford is 4543 S Manhattan Ave Ste 101, Tampa, FL and can be reached out via phone at 813-544-8100.

Location: 4543 S Manhattan Ave Ste 101, Tampa, FL, 33611-2330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982203915
Provider Name
Phuong Diep Bradford
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
4543 S Manhattan Ave Ste 101, Tampa, FL, 33611-2330
Phone Number
813-544-8100
Fax Number
Provider Enumeration Date
10/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RJJ5H 01 FL BLUE CROSS BLUE SHIELD
111161400 05 FL
institution
Provider Business Practice Location Address Details
Address
4543 S Manhattan Ave Ste 101
City
Tampa
State
Florida
Zip
33611-2330
Phone Number
813-544-8100
Fax Number
person
Provider Business Mailing Address Details
Address
4543 S Manhattan Ave Ste 101
City
Tampa
State
Florida
Zip
33611-2330
Phone Number
813-544-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
207K00000X
License No.
APRN11007879 (Florida)
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11007879 (Florida)
Definition
Definition to come...
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