person
Dr. Alex Spencer Breslau, DO
Military Health Care Provider in Jacksonville, Florida
NPI 1891287280

Alex Spencer Breslau is a Military Health Care Provider based in Oak Harbor, FL. Alex Spencer Breslau practices in Jacksonville, FL and has the professional credentials of DO. The NPI Number for Alex Spencer Breslau is 1891287280 and holds a License No. (Florida).

The current practice location address for Alex Spencer Breslau is 2080 Child St, Jacksonville, FL and can be reached out via phone at 904-542-7762.

Location: 2080 Child St, Jacksonville, FL, 98278-4927
person
Provider Profile Details
NPI Number
1891287280
Provider Name
Alex Spencer Breslau
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2080 Child St, Jacksonville, FL, 98278-4927
Phone Number
904-542-7762
Fax Number
Provider Enumeration Date
06/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St
City
State
Zip
32214-5005
Phone Number
904-542-7762
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St
City
State
Zip
32214-5005
Phone Number
904-542-7762
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0102205842 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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