Organization
BREATH OF LIFE, INC.
Active
Other names
Breath of Life Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA PEARSON (EXECUTIVE DIRECTOR)
(727) 216-1420
Entity
Organization
Contact information
Practice address
8001 66TH ST N, PINELLAS PARK, FL 33781-2108
(727) 216-1421
(727) 216-1418
Mailing address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
10/12/2016
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