Individual
MICHAEL P BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605-4201
(352) 331-9729
(352) 331-0136
Mailing address
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605-4201
(352) 331-9729
(352) 331-0136
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME88652
FL
2085R0202X
Diagnostic Radiology Physician
MD060346L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME88652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016217410009
—
PA
05
—
005970900
—
FL
Enumeration date
09/12/2005
Last updated
04/14/2022
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