Healthcare Provider Details

I. General information

NPI: 1285506444
Provider Name (Legal Business Name): ALANA JOY BREEDEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3253 SW 121ST WAY
GAINESVILLE FL
32608-0225
US

IV. Provider business mailing address

2915 NW 156TH AVE
GAINESVILLE FL
32609-4165
US

V. Phone/Fax

Practice location:
  • Phone: 727-457-0101
  • Fax:
Mailing address:
  • Phone: 727-457-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT18488
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: