Potsic, Bradley John

Potsic, Bradley John is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Potsic, Bradley John can be contacted via phone (954) 689-5123.

Contact Information

Primary practice address
2950 Cleveland Clinic Blvd Weston FL 33331-3625
Phone: (954) 689-5123
Fax: (954) 689-5115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME121467 Florida

Profile Details

NPI number 1063533412
LBN Legal business name Potsic, Bradley John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 19th, 2023 - about last year

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 1063533412 NPPES
Nevada Other P01224603 RR MEDICARE
Nevada Other P01250080 RR MEDICARE
Nevada MEDICAID 1063533412 RR MEDICARE
Nevada MEDICAID 1063533412 RR MEDICARE

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