Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADFORD SMITH
Active Sole ProprietorMR. BRADFORD SMITH is a Skilled Nursing Facility healthcare provider located in SOUTH DAYTONA, Florida. NPI 1285992982 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · SOUTH DAYTONA, FL
Registration Details
- NPI Number
- 1285992982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2012 (14.296384835473 yrs)
- Last Updated
- May 1, 2012
- License
-
OTA10222 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 REED CANAL RDSOUTH DAYTONA, FL, 321193230Browse FL providers · Browse ZIP 32119
- Phone
- 3863107868
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.