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Individual

ANDREA VIVIANA BRETAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1605 TOWN CENTER BLVD STE D, WESTON, FL 33326-3637
(954) 389-1800
(954) 389-7600
Mailing address
1605 TOWN CENTER BLVD STE D, WESTON, FL 33326-3637
(954) 389-1800
(954) 389-7600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64777
GA
261QP2300X
Primary Care Clinic/Center
Primary
ME122080
FL

Other

Enumeration date
01/20/2010
Last updated
08/26/2020
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