Healthcare Provider Details

I. General information

NPI: 1811986508
Provider Name (Legal Business Name): JUANA HILDA BREHMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 09/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MEADOWS RD SUITE118
BOCA RATON FL
33486-2346
US

IV. Provider business mailing address

801 MEADOWS RD SUITE118
BOCA RATON FL
33486-2346
US

V. Phone/Fax

Practice location:
  • Phone: 561-338-9615
  • Fax: 561-338-9616
Mailing address:
  • Phone: 561-338-9615
  • Fax: 561-338-9616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME86467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: