Lyle G Breeding, M.D.
Surgery in Brooksville, FL. Individual provider (NPI-1).
NPI number1063625317
StatusActive
Last updated in NPPESFeb 14, 2018
Details
- NPI
- 1063625317
- Entity type
- Individual (NPI-1)
- Name
- Lyle G Breeding
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2007
- Last updated
- Feb 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | R9N91 | MO | Yes |
| 2086S0129X | R9N91 | MO | ||
| 261QM2500X | Clinic/Center, Medical Specialty | ME102374 | FL |
Practice location
11373 Cortez BlvdSuite 202
Brooksville, FL 34613-5414
Phone 352-597-3444 · Fax 352-597-0117
Mailing address
11373 Cortez BlvdSuite 202
Brooksville, FL 34613-5414
Phone 352-597-3444 · Fax 352-597-0117
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