Bradford Smith

NPI 1285992982 · on the registry since 2012 · sole proprietor

Practice

Address: 650 Reed Canal Rd
South Daytona, FL 32119
Phone: (386) 310-7868
Organisation at this address: Reed Canal Road Opco Llc
650 Reed Canal Road Operations Llc
South Daytona Health Care Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 314000000X
314000000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-01

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