Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY JAMES WINE, RN
Active Sole ProprietorMedical-Surgical Nurse · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1013553650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 19, 2019 (6.449252105358 yrs)
- Last Updated
- Nov 19, 2019
- License
-
RN9524431 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 PRUDENTIAL DRJACKSONVILLE, FL, 322078202Browse FL providers · Browse ZIP 32207
- Phone
- 9042022000
- Primary Specialty
-
Medical-Surgical Nurse
163WM0705X
Other Medical-Surgical Nurse Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MICHELE PAPPARGERIS | — | 1205392024 |
| MR. BRYAN EARL WRIGHT | — | 1689221533 |
| RAMONA GREENE | — | 1003458787 |
| JASMINE BURCH | RN | 1811523665 |
| HEIDI MARIE REBHOLZ | — | 1487264636 |
| KENDRA A GARLINGTON | — | 1598335788 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.