Breault, Paul A.
Breault, Paul A. is an sole proprietor health care provider with primary practice located at 1647 Sun City Center Plz Ste 103 , Sun City Center FL 33573-5374. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Breault, Paul A. can be contacted via phone (813) 634-6344.Contact Information
Primary practice address
1647 Sun City Center Plz Ste 103
Sun City Center FL 33573-5374
Phone: (813) 634-6344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3216 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC 3216 | Florida |
Profile Details
| NPI number | 1770517740 |
|---|---|
| LBN Legal business name | Breault, Paul A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Nov 12th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770517740 | NPPES |
| Florida | Other | 59-3632508 | TAX-ID # |
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