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Ray Mond Joseph Breitwieser Jr., RNFA

Registered Nurse, Registered Nurse First Assistant in Coral Springs, FL. Individual provider (NPI-1).

NPI number1063662989
StatusActive
Last updated in NPPESSep 27, 2008

Details

NPI
1063662989
Entity type
Individual (NPI-1)
Name
Mr. Ray Mond Joseph Breitwieser Jr.
Credential
RNFA
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 27, 2008
Last updated
Sep 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First Assistant1930212FLYes

Practice location

3835 Nw 72nd Dr
Coral Springs, FL 33065-2244

Phone 954-341-6105

Mailing address

3835 Nw 72nd Dr
Coral Springs, FL 33065-2244

Phone 954-341-6105

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