Organization
BRADLEY S BESSANT OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY S BESSANT OD (PRESIDENT)
(813) 681-3863
Entity
Organization
Contact information
Practice address
201 S KINGS AVE, SUITE #4, BRANDON, FL 33511-5712
(813) 681-3863
(813) 681-3077
Mailing address
201 S KINGS AVE, SUITE #4, BRANDON, FL 33511-5712
(813) 681-3863
(813) 681-3077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620351500
—
FL
Enumeration date
12/04/2008
Last updated
12/04/2008
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