Provider Demographics
NPI:1487078200
Name:BRADFORD, MARIA (ARNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:BRADFORD
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4590
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-4590
Mailing Address - Country:US
Mailing Address - Phone:352-509-9900
Mailing Address - Fax:
Practice Address - Street 1:2955 SE 3RD CT STE B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0441
Practice Address - Country:US
Practice Address - Phone:352-509-9900
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9310961363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9310961OtherLICENSE