| A Den Breeijen M D P A | |
|
1355 E Main St Lakeland FL 33801-5714 | |
| (368) 682-8482 | |
| (863) 684-3824 |
| Full Name | A Den Breeijen M D P A |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1355 E Main St, Lakeland, Florida |
| Authorized Official Name and Position | Arie Den Breeijen (OWNER) |
| Authorized Official Contact | 8636828482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Den Breeijen M D P A 1355 E Main St Lakeland FL 33801-5714 Ph: (368) 682-8482 | A Den Breeijen M D P A 1355 E Main St Lakeland FL 33801-5714 Ph: (368) 682-8482 |
| NPI Number | 1417187808 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417187808 | NPI | - | NPPES |
| ME0010918 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0010918 (Florida) | Primary |
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