Organization
BREATHING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE BRIDGMAN DNP (CEO)
(352) 801-9272
Entity
Organization
Contact information
Practice address
36624 GRAND ISLAND OAKS CIR, GRAND ISLAND, FL 32735-9653
(352) 551-3013
Mailing address
36624 GRAND ISLAND OAKS CIR, GRAND ISLAND, FL 32735-9653
(352) 551-3013
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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