Individual
DR. BRETON ASKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
3009 SW WILLISTON RD, GAINESVILLE, FL 32608-3928
(352) 294-5400
Mailing address
PO BOX 100165 UNIVERSITY OF FLORIDA - COLLEGE OF PHHP, GAINESVILLE, FL 32610-0001
(352) 273-6617
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY11512
FL
103TC0700X
Clinical Psychologist
Primary
PY11512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116325900
—
FL
01
—
BOC220124
NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION
—
01
—
PY11512
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/20/2022
Last updated
01/03/2023
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