Heather Bridge, PA

NPI 1700055035 · on the registry since 2008

Practice

Address: 12902 Magnolia Dr
Srb4
Tampa, FL 33612
Phone: (813) 745-7853
Organisation at this address: Terry M. Kelly Dmd Pa
H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 37

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida