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NPI Code Detail

MEDICARE: DINA BREDEAU ARNP

MEDICARE: DINA BREDEAU 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
1363LF0000XFamily Nurse PractitionerAPRN2677142FL

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 : 1104931732
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA BREDEAU ARNP
Provider Business Mailing Address
First Line : 770 NORTHPOINT PARKWAY
Second Line : SUITE 102
City : WEST PALM BEACH
State : FL
Zip : 33407
Country : US
Telephone Number : 561-275-7604
Fax Number : 561-802-5385
Provider Business Practice Location Address
First Line : 2979 PGA BLVD
Second Line : SUITE 100
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2911
Country : US
Telephone Number : 561-627-6801
Fax Number : 561-627-6802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 08/05/2025

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