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Organization
PAUL A. BREAULT OD, PA
Active
Organization
PAUL A. BREAULT OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A. BREAULT O.D. (OWNER)
(941) 957-3319
Entity
Organization
Contact information
Practice address
891 S TAMIAMI TRL, SARASOTA, FL 34236-7824
(941) 957-3319
Mailing address
891 S TAMIAMI TRL, SARASOTA, FL 34236-7824
(941) 957-3319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3216
FL
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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