MR. BRADFORD SMITH (NPI# 1285992982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285992982 |
| Entity Type | Individual |
| Full Name | MR. BRADFORD SMITH |
| Practice Address |
650 Reed Canal Rd South Daytona FL 32119-3230 |
| Mailing Address |
109 N Paul Revere Dr Daytona Beach FL 32119-1484 |
| Practice Telephone | 3863107868 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OTA10222 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992711840 | Bradford D Smith | Optometrist | 15 Western Ave, Suite 1, Augusta, ME 04330-7340 | 2006-07-31 |
| 1275552523 | Bradford Peiars Smith | Dentist | 1710 36th St, Bldg B, Vero Beach, FL 32960-4851 | 2006-07-18 |
| 1477522555 | Bradford Marshall Smith | Psychologist | 15 Muzzey St, Lexington, MA 02421-5257 | 2006-03-14 |
| 1457767691 | Bradford Smith | Anesthesiology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2014-07-09 |
| 1922209998 | Bradford Smith | Nurse Practitioner | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2007-05-29 |
| 1497869580 | Bradford Douglass Smith | Anesthesiology | 8th Avenue and C Street, Lds Hospital, Salt Lake City, UT 84143 | 2006-08-18 |
| 1346353893 | Bradford Alfred Smith | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-08-17 |
| 1447285325 | Bradford Smith | Emergency Medicine | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-07-11 |
| 1811924830 | Bradford Davison Smith Jr. | Otolaryngology | 100 E Lancaster Ave, 650 Lankenau Medical Building East, Wynnewood, PA 19096-3450 | 2006-06-26 |
| 1144271602 | Bradford J Smith | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-12 |
| Street Address |
650 REED CANAL RD |
| City | SOUTH DAYTONA |
| State | FL |
| Zip Code | 32119-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346296118 | South Daytona Health Care Associates LLC | Skilled Nursing Facility | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2006-05-25 |
| 1255851192 | Veronica Fuentes | Speech-Language Pathologist | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2017-06-21 |
| 1497009591 | Shirley Maureen Garcia | Occupational Therapist | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2012-10-29 |
| 1336418086 | 650 Reed Canal Road Operations LLC | Skilled Nursing Facility | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| Find all providers in zip 32119 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346296118 | South Daytona Health Care Associates LLC | Skilled Nursing Facility | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2006-05-25 |
| 1336418086 | 650 Reed Canal Road Operations LLC | Skilled Nursing Facility | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2011-12-27 |
| 1053506741 | Advanced Medical | Skilled Nursing Facility | 681 Beville Rd, South Daytona, FL 32119-1951 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
| 1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH DAYTONA |
| Zip Code | 32119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.