Healthcare Provider Details

I. General information

NPI: 1942111828
Provider Name (Legal Business Name): DOC TO DOOR PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 SHADOW CREEK DR
ORANGE PARK FL
32065-2514
US

IV. Provider business mailing address

1441 SHADOW CREEK DR
ORANGE PARK FL
32065-2514
US

V. Phone/Fax

Practice location:
  • Phone: 904-621-7053
  • Fax:
Mailing address:
  • Phone: 904-621-7053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TOYE K BRADFORD
Title or Position: CO-OWNER
Credential: FNP
Phone: 904-621-7053