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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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