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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY POTTER

Active Sole Proprietor

BRADLEY POTTER is a Peer Specialist healthcare provider located in SEFFNER, Florida. NPI 1265262802 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · SEFFNER, FL

Registration Details

NPI Number
1265262802
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2024 (2.0420117938733 yrs)
Last Updated
Aug 7, 2024
License
CRPS.0101450-P (FL)
Sole Proprietor
Yes

Practice Information

Address
438 DOWN PINE DR
SEFFNER, FL, 335843719
Browse FL providers · Browse ZIP 33584
Phone
4077778009
Primary Specialty
Peer Specialist
175T00000X
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.