Breen, James O
Breen, James O is an individual health care provider with primary practice located at 2780 Cleveland Ave Ste 709 , Fort Myers FL 33901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Breen, James O can be contacted via phone (239) 343-3831.Contact Information
Primary practice address
2780 Cleveland Ave Ste 709
Fort Myers FL 33901
Phone: (239) 343-3831
Fax: (239) 343-2301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0089728 | Florida |
Profile Details
| NPI number | 1902867054 |
|---|---|
| LBN Legal business name | Breen, James O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Mar 24th, 2021 - about 5 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 | 1902867054 | NPPES |
| Florida | MEDICAID | 271005600 |
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