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Individual

DR. LORETTA L BRESTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14100 FIVAY RD STE 340, HUDSON, FL 34667-7181
(727) 861-0237
Mailing address
14100 FIVAY RD STE 340, HUDSON, FL 34667-7181
(727) 861-0237

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME96298
FL
2086S0127X
Trauma Surgery Physician
Primary
ME96298
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019643000
FL
Enumeration date
07/25/2006
Last updated
11/01/2022
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