Organization
SPECIALIST DOCTORS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BREUGGEMAN DPM (MEDICAL DIRECTOR)
(863) 686-6200
Entity
Organization
Contact information
Practice address
1443 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3206
(863) 686-6200
Mailing address
1443 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3206
(863) 686-6200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2891
FL
Other
Enumeration date
06/25/2015
Last updated
09/09/2015
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