Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bradford Smith

Individual provider Skilled Nursing Facility · NPI 1285992982

Mr. Bradford Smith is a Skilled Nursing Facility in South Daytona, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

650 Reed Canal Rd
South Daytona, FL 32119-3230
Phone: (386) 310-7868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence OTA10222 (FL)

Record details

NPI number1285992982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 1, 2012
Last updated in NPPESMay 1, 2012
Mailing address109 N Paul Revere Dr, Daytona Beach, FL 32119-1484

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