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Individual

DR. ERIC JOEL BREUGGEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1443 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3206
(863) 686-6200
(863) 686-6339
Mailing address
1443 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3206
(863) 686-6200
(863) 686-6339

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2891
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861662546
GROUP NPI
FL
05
340177400
FL
Enumeration date
03/23/2006
Last updated
10/08/2012
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