Organization
BREATH OF LIFE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO GONZALEZ MD (OWNER)
(407) 361-0755
Entity
Organization
Contact information
Practice address
3505 PROGRESS LN, SAINT CLOUD, FL 34769-6519
(407) 892-8925
(407) 892-8926
Mailing address
3505 PROGRESS LN, SAINT CLOUD, FL 34769-6519
(407) 892-8925
(407) 892-8926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
380652
FL
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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