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NPI Code Detail

MEDICARE: DR. DORIT GOLAN BREITER ARNP

MEDICARE: DR. DORIT GOLAN BREITER ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN2564842FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194923169
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DORIT GOLAN BREITER ARNP
Provider Business Mailing Address
First Line : 4107 W SPRUCE ST STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33607-2346
Country : US
Telephone Number : 813-636-8811
Fax Number : 813-636-8855
Provider Business Practice Location Address
First Line : 4107 W SPRUCE ST STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33607-2346
Country : US
Telephone Number : 813-636-8811
Fax Number : 813-636-8855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 07/26/2023

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Directions to “ DR. DORIT GOLAN BREITER ARNP” Practice Location

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