Breen, Michael P

Breen, Michael P is an individual health care provider with primary practice located at 6716 Nw 11Th Pl Ste 200 , Gainesville FL 32605-4201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Breen, Michael P can be contacted via phone (352) 331-9729.

Contact Information

Primary practice address
6716 Nw 11Th Pl Ste 200 Gainesville FL 32605-4201
Phone: (352) 331-9729
Fax: (352) 331-0136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME88652 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD060346L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME88652 Florida

Profile Details

NPI number 1346235801
LBN Legal business name Breen, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 14th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346235801 NPPES
Pennsylvania MEDICAID 00016217410009
Pennsylvania MEDICAID 005970900

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