Individual
DR. BRADLEY JOHN POTSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3625
(954) 689-5123
(954) 689-5115
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3625
(954) 689-5123
(954) 689-5115
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME121467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063533412
—
CA
05
—
1063533412
—
NV
01
—
P01224603
RR MEDICARE
NV
01
—
P01250080
RR MEDICARE DR
NV
Enumeration date
04/03/2007
Last updated
10/19/2023
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