Smith, William Bradley

Smith, William Bradley is an individual health care provider with primary practice located at 921 Town Center Dr , Orange City FL 32763-8311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Smith, William Bradley can be contacted via phone (386) 218-0092.

Contact Information

Primary practice address
921 Town Center Dr Orange City FL 32763-8311
Phone: (386) 218-0092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 22611 Florida

Profile Details

NPI number 1144981929
LBN Legal business name Smith, William Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2022
Last updated Jan 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144981929 NPPES
Florida MEDICAID 22611

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