BRADFORD SMITH

SOUTH DAYTONA, FL
NPI1285992982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: FL  ota10222)
Enumeration Date2012-05-01
Last Update Date2012-05-01
Business Address
Mr. BRADFORD SMITH
650 REED CANAL RD
SOUTH DAYTONA, FL 32119-3230
Phone number: 386-310-7868
Mailing Address
Mr. BRADFORD SMITH
109 N PAUL REVERE DR
DAYTONA BEACH, FL 32119-1484
Phone number:
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