Dareon Bradwell

Physical Therapist · St Augustine, FL

Individual Active NPI

NPI number 1558030965

Practice location

56 Water St
St Augustine, FL 32084-2887
Phone
(727) 364-4024

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NPI record

NPI
1558030965
Entity type
Individual (Type 1)
Enumeration date
September 9, 2021
Last updated
September 9, 2021
Certified
September 9, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT37659 FL

About Dareon Bradwell

Dareon Bradwell is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 56 Water St, St Augustine, FL 32084-2887. The NPI number 1558030965 was assigned on September 9, 2021 and the record was last updated on September 9, 2021.

Dareon Bradwell lists a license in the registry: #PT37659 (FL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dareon Bradwell?

The NPI number is 1558030965.

What is the phone number of Dareon Bradwell?

The phone number listed for the practice location is (727) 364-4024.

Where is Dareon Bradwell located?

56 Water St, St Augustine, FL 32084-2887.

What is the taxonomy code for Dareon Bradwell?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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