# BRADLEY S BESSANT OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801031810
- **Authorized official:** DR. BRADLEY S BESSANT OD (PRESIDENT)
- **Authorized official phone:** (813) 681-3863

## Contact information

- **Practice address:** 201 S KINGS AVE, SUITE \#4, BRANDON, FL 33511-5712
- **Practice address phone:** (813) 681-3863
- **Practice address fax:** (813) 681-3077
- **Mailing address:** 201 S KINGS AVE, SUITE \#4, BRANDON, FL 33511-5712
- **Mailing address phone:** (813) 681-3863
- **Mailing address fax:** (813) 681-3077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2974 | FL | Yes |

## Other

- **Enumeration date:** 12/04/2008
- **Last updated:** 12/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620351500 | — | FL |