Individual
BRIDGETT KENETRA BREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2062 HAREBELL LN, OCOEE, FL 34761-5732
(863) 242-0575
Mailing address
2062 HAREBELL LN, OCOEE, FL 34761-5732
(863) 242-0575
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPS.0101416-P
FL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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