Brestan, Loretta L
Brestan, Loretta L is an individual health care provider with primary practice located at 14100 Fivay Rd Ste 340 , Hudson FL 34667-7181. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Brestan, Loretta L can be contacted via phone (727) 861-0237.Contact Information
Primary practice address
14100 Fivay Rd Ste 340
Hudson FL 34667-7181
Phone: (727) 861-0237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME96298 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME96298 | Florida |
Profile Details
| NPI number | 1861415812 |
|---|---|
| LBN Legal business name | Brestan, Loretta L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Nov 1st, 2022 - about 3 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 | 1861415812 | NPPES |
| Florida | MEDICAID | 019643000 |
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