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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