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NPI Code Detail

MEDICARE: ADAM BREUNIG MD

MEDICARE: ADAM BREUNIG MD
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
1207WX0009XGlaucoma Specialist (Ophthalmology) PhysicianME131667FL
2207W00000XOphthalmology PhysicianME131667FL

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 : 1295999183
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM BREUNIG MD
Provider Business Mailing Address
First Line : 215 1ST ST N STE 200
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4507
Country : US
Telephone Number : 863-294-5457
Fax Number : 863-293-0343
Provider Business Practice Location Address
First Line : 215 1ST ST N STE 200
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4507
Country : US
Telephone Number : 863-294-5457
Fax Number : 836-293-0343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2008
Last Update Date : 07/21/2022

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Directions to “ ADAM BREUNIG MD” Practice Location

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