Organization
A DEN BREEIJEN M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIE DEN BREEIJEN MD (OWNER)
(863) 682-8482
Entity
Organization
Contact information
Practice address
1355 E MAIN ST, LAKELAND, FL 33801-5714
(368) 682-8482
(863) 684-3824
Mailing address
1355 E MAIN ST, LAKELAND, FL 33801-5714
(368) 682-8482
(863) 684-3824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0010918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0010918
LICENSE
FL
Enumeration date
07/20/2009
Last updated
07/21/2009
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