SHANNON D BRADLEY

IVAN L MAZZORANA JR MD PA

Dr SHANNON D BRADLEY is a female medical professional, specializing in Clinical Social Worker. She graduated in 2012.

Contact

IVAN L MAZZORANA JR MD PA

12590 WHITEHALL DR
SUITE 3
FORT MYERS
FL
339074680

Tel: 2399399090

SHANNON D BRADLEY Information

Npi 1053720557
Pac Id 8022315514
Professional Enrollment Id I20160329000423
Last Name BRADLEY
First Name SHANNON
Middle Name D
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name IVAN L MAZZORANA JR MD PA
Group Practice Pac Id 5395647754
Number Of Group Practice Members 12
Line 1 Street Address 12590 WHITEHALL DR
Line 2 Street Address SUITE 3
Marker Of Address Line 2 Suppression
City FORT MYERS
State FL
Zip Code 339074680
Phone Number 2399399090
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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