IndividualActive
Bradley Wine, RN
NPI 1013553650 · Medical-Surgical Registered Nurse · Jacksonville, FL
Provider details
- NPI number
- 1013553650
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN9524431 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 202-2000
Approximate (ZIP-level) locationGet directions
Mailing address
1010 N 102nd St Ste 300
Omaha, NE 68114-2122
Registry dates
- Enumerated
- 2019-11-19
- Last updated
- 2019-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.