Individual
BRADLEY RICHARD CONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5147 N 9TH AVE, SUITE 322, PENSACOLA, FL 32504-8710
(850) 474-9995
(850) 477-6021
Mailing address
5147 N 9TH AVE, SUITE 322, PENSACOLA, FL 32504-8710
(850) 474-9995
(850) 477-6021
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009976465
—
AL
05
—
292018200
—
FL
Enumeration date
10/19/2005
Last updated
01/07/2010
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