Individual
JOSEPH THOMAS BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME152581
FL
207YX0901X
Otology & Neurotology Physician
35.128526
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01051992
RAILROAD MEDICARE
MN
Enumeration date
06/26/2009
Last updated
10/08/2021
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