Smith, Kristy Breuhl

Smith, Kristy Breuhl is an individual health care provider with primary practice located at 2000 Sw Archer Rd , Gainesville FL 32608-1136. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Smith, Kristy Breuhl can be contacted via phone (352) 265-7999.

Contact Information

Primary practice address
2000 Sw Archer Rd Gainesville FL 32608-1136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 513630 TRN 9750 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME111429 Florida

Profile Details

NPI number 1588864201
LBN Legal business name Smith, Kristy Breuhl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Sep 28th, 2012 - about 12 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 1588864201 NPPES
Florida MEDICAID 006455700

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