Individual provider · Type 1 NPI

Shannon M. Bradley

Radiology Clinic/Center · Gainesville, FL

NPI number 1003521683 Active

Practice location

4340 Newberry Rd Ste 104
Gainesville, FL 32607-2557

Call (352) 377-3100 Map

Fax (352) 377-1286

Mailing address

232 SW Lenvil Ln
Fort White, FL 32038-4334

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

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About NPI 1003521683

Shannon M. Bradley's National Provider Identifier is 1003521683, issued on Jan 18, 2023. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Gainesville, FL. The record was last updated on Jan 18, 2023.