Organization
BREAKWATER MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK CAHILL (CEO)
(813) 690-5608
Entity
Organization
Contact information
Practice address
6403 OCEAN FRONT WALK, PLAYA DEL REY, CA 90293-7528
(813) 690-5608
Mailing address
6403 OCEAN FRONT WALK, PLAYA DEL REY, CA 90293-7528
(813) 690-5608
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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