Doctor Name: | DR. BRADLEY JOHN SCHULTE |
NPI Number: | 1063611226 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS10150 |
Business Practice Address: | 3501 Johnson St Hollywood, FL - 330215421 |
Business Phone Number: | 9546733793 |
Business Fax Number: | |
Mailing Address: | 500 Brickell Ave, Apt 3210 MIAMI |
State: | FL |
Postal Code: | 331312576 |
Phone Number: | 9546733793 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS10150 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |