Individual
BRADLEY S PANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1811 S 25TH ST, FORT PIERCE, FL 34947-4756
(772) 467-1960
(772) 467-1097
Mailing address
2451 SW RACQUET CLUB DR, PALM CITY, FL 34990-2610
(772) 221-8546
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0062002
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME0062002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14997
BXBS FL
FL
05
—
37713340001
—
FL
Enumeration date
07/11/2006
Last updated
02/12/2024
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