Potash, Bradley
Potash, Bradley is an sole proprietor health care provider with primary practice located at 1000 Corporate Dr Ste 280 , Fort Lauderdale FL 33334-3628. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Potash, Bradley can be contacted via phone (954) 636-2525.Contact Information
Primary practice address
1000 Corporate Dr Ste 280
Fort Lauderdale FL 33334-3628
Phone: (954) 636-2525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A4088 | Maryland |
Profile Details
| NPI number | 1396292124 |
|---|---|
| LBN Legal business name | Potash, Bradley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2016 |
| Last updated | Sep 14th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396292124 | NPPES |
| Maryland | Other | W2172 54782 | AETNA |
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