Individual
JASON BREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3571 DEL PRADO BLVD N STE 2, CAPE CORAL, FL 33909-5287
(239) 656-6300
(239) 656-6765
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9206384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004353000
—
FL
01
—
Y0H8Q
FLORIDA BLUE
FL
Enumeration date
11/08/2011
Last updated
01/03/2024
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