Individual
MR. RAY MOND JOSEPH BREITWIESER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
3835 NW 72ND DR, CORAL SPRINGS, FL 33065-2244
(954) 341-6105
Mailing address
3835 NW 72ND DR, CORAL SPRINGS, FL 33065-2244
(954) 341-6105
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1930212
FL
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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