| Breath Of Life Physician Group | |
|
8001 66th St N Pinellas Park FL 33781-2108 | |
| (727) 216-1421 | |
| (727) 216-1418 |
| Full Name | Breath Of Life Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8001 66th St N, Pinellas Park, Florida |
| Authorized Official Name and Position | Glenda Pearson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7272161420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breath Of Life Physician Group 1900 E Bay Dr Largo FL 33771-2218 Ph: (727) 216-1420 | Breath Of Life Physician Group 8001 66th St N Pinellas Park FL 33781-2108 Ph: (727) 216-1421 |
| NPI Number | 1861849887 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861849887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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