Bradley Potter

Peer Specialist · Seffner, FL

Individual Active NPI

NPI number 1265262802

Practice location

438 Down Pine Dr
Seffner, FL 33584-3719
Phone
(407) 777-8009

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NPI record

NPI
1265262802
Entity type
Individual (Type 1)
Enumeration date
August 7, 2024
Last updated
August 7, 2024
Certified
August 7, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X CRPS.0101450-P FL

About Bradley Potter

Bradley Potter is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 438 Down Pine Dr, Seffner, FL 33584-3719. The NPI number 1265262802 was assigned on August 7, 2024 and the record was last updated on August 7, 2024.

Bradley Potter lists a license in the registry: #CRPS.0101450-P (FL) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley Potter?

The NPI number is 1265262802.

What is the phone number of Bradley Potter?

The phone number listed for the practice location is (407) 777-8009.

Where is Bradley Potter located?

438 Down Pine Dr, Seffner, FL 33584-3719.

What is the taxonomy code for Bradley Potter?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.