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Individual

DR. GLENN SCOTT BREITZIG

Active
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Individual

DR. GLENN SCOTT BREITZIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., FNP-C

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH0008078
FL
363LF0000X
Family Nurse Practitioner
Primary
2019008101
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381-400900
FL
Enumeration date
12/06/2005
Last updated
06/05/2026
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