Most Relevant Information
Provider Data
| NPI Number: | 1003010596 |
| Provider Name: | BRADLEY TYLER JOHNSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | ME132490 |
Most Important Dates
| Enumeration Date: | 06/11/2007 |
| Last Updated: | 12/27/2021 |
Provider Practice Location
133 BENMORE DR STE 100
WINTER PARK
FL
327924111
Practice Location Phone/Fax
| Phone: | 4076444883 |
| Fax: | 4076443697 |
Provider Mailing Location
133 BENMORE DR STE 100
WINTER PARK
FL
327924111
Provider Mailing Phone/Fax
| Phone: | 4076444883 |
| Fax: | 4076443697 |
Suggested EMR
ENT EMR