Healthcare Provider Details

I. General information

NPI: 1265368849
Provider Name (Legal Business Name): SEABREEZE HEALTH DIRECT PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 60TH STREET CT E UNIT 101
BRADENTON FL
34208-6278
US

IV. Provider business mailing address

11553 11TH AVE E
BRADENTON FL
34212-2502
US

V. Phone/Fax

Practice location:
  • Phone: 763-370-7245
  • Fax:
Mailing address:
  • Phone: 763-370-7245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KILEY HURWIT
Title or Position: OWNER/ PHYSICIAN
Credential: MD
Phone: 763-370-7245