A Den Breeijen M D P A
Psychiatry & Neurology, Psychiatry in Lakeland, FL. Organization (NPI-2).
NPI number1417187808
StatusActive
Last updated in NPPESJul 21, 2009
Details
- NPI
- 1417187808
- Entity type
- Organization (NPI-2)
- Legal business name
- A Den Breeijen M D P A
- Organization subpart
- No
- Enumeration date
- Jul 20, 2009
- Last updated
- Jul 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME0010918 | FL | Yes |
Practice location
1355 E Main StLakeland, FL 33801-5714
Phone 368-682-8482 · Fax 863-684-3824
Mailing address
1355 E Main StLakeland, FL 33801-5714
Phone 368-682-8482 · Fax 863-684-3824
Authorized official
Arie Den Breeijen
Owner
8636828482
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