Individual provider · NPI-1

Dr. Jeffrey L. Breslaw, D.P.M.

Podiatrist, Primary Podiatric Medicine · Homestead, FL

NPI number1124236880
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124236880
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey L. Breslaw
Credential
D.P.M.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 18, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213EP1101X Podiatrist, Primary Podiatric MedicinePO830FLYes

Practice location

1555 N Krome Ave
Homestead, FL 33030-3232

Phone 305-365-3668

Mailing address

1555 N Krome Ave
Homestead, FL 33030-3232

Phone 305-365-3668

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