Conti, Bradley Richard

Conti, Bradley Richard is an individual health care provider with primary practice located at 5147 N 9Th Ave Suite 322, Pensacola FL 32504-8710. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Conti, Bradley Richard can be contacted via phone (850) 474-9995.

Contact Information

Primary practice address
5147 N 9Th Ave Suite 322 Pensacola FL 32504-8710
Phone: (850) 474-9995
Fax: (850) 477-6021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103690 Florida

Profile Details

NPI number 1134118334
LBN Legal business name Conti, Bradley Richard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jan 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134118334 NPPES
Florida MEDICAID 292018200
Florida MEDICAID 009976465

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