MEDICARE: MARK WINTER BRADLEY L.M.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA 4120	FL

General Provider Information

NPI Number	:	1356408116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK WINTER BRADLEY L.M.T.

Provider Business Mailing Address
First Line	:	756 PREAKNESS DR
Second Line	:
City	:	WEST MELBOURNE
State	:	FL
Zip	:	32904-7310
Country	:	US
Telephone Number	:	321-749-1924
Fax Number	:

Provider Business Practice Location Address
First Line	:	756 PREAKNESS DR
Second Line	:
City	:	WEST MELBOURNE
State	:	FL
Zip	:	32904-7310
Country	:	US
Telephone Number	:	321-749-1924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1043815426 — TAMMY DITTA APRN, FNP
Practice Location Address:

3424 CYPRESS ST
WEST MONROE, LA
71291-7310

Practice Phone: 318-450-4626
Practice Fax:

1164407896 — BERNIE M CALDWELL PA-C
Practice Location Address:

3424 CYPRESS ST
WEST MONROE, LA
71291-7310

Practice Phone: 318-450-4626
Practice Fax: 318-600-4078

1780843425 — OGDEN HOME CORP.
Practice Location Address:

906 N OGDEN DR
WEST HOLLYWOOD, CA
90046-7310

Practice Phone: 323-650-6588
Practice Fax:

1699314799 — PEACH TREE DENTAL WEST MONROE, LLC
Practice Location Address:

3422 CYPRESS ST
WEST MONROE, LA
71291-7310

Practice Phone: 318-381-9340
Practice Fax:

1700638053 — ALLISON MCLEOD SPILLERS
Practice Location Address:

3422 CYPRESS ST
WEST MONROE, LA
71291-7310

Practice Phone: 318-497-4007
Practice Fax:

Directions to “ MARK WINTER BRADLEY L.M.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.