Individual
BREEA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 PINELLAS ST, SUITE 300, CLEARWATER, FL 33756-3312
(727) 447-8100
Mailing address
PO BOX 102222, ATTN: CREDENTIAILNG, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018727800
—
FL
Enumeration date
08/28/2016
Last updated
03/05/2026
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