Individual
STEPHANIE NICOLE BRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1505 DELAWARE AVE STE 648, FORT PIERCE, FL 34950-3975
(772) 461-1402
(844) 540-4796
Mailing address
1505 DELAWARE AVE, FORT PIERCE, FL 34950-3975
(772) 461-1402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H0087459
MD
208000000X
Pediatrics Physician
Primary
OS16593
FL
208000000X
Pediatrics Physician
UO4896
FL
Other
Enumeration date
06/08/2016
Last updated
09/22/2020
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