Most Relevant Information
Provider Data
| NPI Number: | 1003836362 |
| Provider Name: | WALTER G BRADLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 2084N0402X |
| Specialty: | Psychiatry & Neurology |
| License Number: | ME61738 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1475 NW 12TH AVE
BOX 016960 M851
MIAMI
FL
331361002
Practice Location Phone/Fax
| Phone: | 3052437520 |
| Fax: |
Provider Mailing Location
1475 NW 12TH AVE
BOX 016960 M851
MIAMI
FL
331361002
Provider Mailing Phone/Fax
| Phone: | 3052437520 |
| Fax: |