Healthcare Provider Details

I. General information

NPI: 1548377955
Provider Name (Legal Business Name): DONNA BRESLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 TURKEY LAKE RD STE 203
ORLANDO FL
32819-4206
US

IV. Provider business mailing address

1119 ENGLISH GARDEN LN
WINTER GARDEN FL
34787-5525
US

V. Phone/Fax

Practice location:
  • Phone: 407-352-3508
  • Fax:
Mailing address:
  • Phone: 407-654-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT4870
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: