Individual
DAVID PANTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 2ND AVE E, BRADENTON, FL 34208-1105
(941) 748-4600
(941) 748-4604
Mailing address
PO BOX 14156, BRADENTON, FL 34280-4156
(941) 739-0323
(941) 739-5390
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 0070765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200712
STAYWELL HEALTHEASE WELLC
FL
05
—
252067200
—
FL
01
—
260038191
RAIL ROAD MEDICARE
FL
01
—
3105413
GHI
FL
01
—
31423
BCBS
FL
01
—
5322733
CIGNA
FL
01
—
V47660
AMERIHEALTH
FL
Enumeration date
10/31/2005
Last updated
10/03/2014
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