ERIC J. BREUGGEMAN DPM, PA
Medical Practice at Lakeland Hills Blvd, Lakeland, FL

License number
Florida PO2891
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: ERIC J BREUGGEMAN DPM
Title: OWNER
Phone: (863) 686-6200
Address
Address
1443 Lakeland Hills Blvd, Lakeland, FL 33805
National Provider ID: 1861662546
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERIC J. BREUGGEMAN, D.P.M., PA

1443 Lakeland Hl Blvd, Lakeland, FL 33805

Registration:
Mar 17, 2005
State ID:
P05000040628
Business type:
Florida Profit Corporation
President, Director:
Eric J Breuggeman (President, Director), 1722 Brookstone Way, Plant City, FL 33567 (Physical)
Agent:
Eric Breuggeman,1722 Brookstone Way, Plant City, FL 33567 (Physical)
EIN:
202514159

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