THOMAS S BREZA MD PA
Medical Practice at Bougainvilla Dr, Fort Lauderdale, FL

License number
Florida 0022052
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. CAROLYN JULIA BREZA
Title: PRACTICE ADMINISTRATOR
Phone: (954) 492-8866
Address
Address
4341 Bougainvilla Dr, Fort Lauderdale, FL 33308
National Provider ID: 1114259165
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Thomas S. Breza, M.D., PA

Ft Lauderdale, FL

Status:
Inactive
Doing business as:
Thomas S Breza MD PA
Registration:
Sep 30, 1981
Addresses:
2833 N Ocean Blvd, Ft Lauderdale, FL 33308
4341 Bougainvilla Dr, Ft Lauderdale, FL 33308
State ID:
F49018
Business type:
Domestic for Profit Corporation
President, Treasurer, Vice Presidents:
Carolyn Breza (Treasurer, Secretary),Thomas S. Breza President, Treasurer, Vice President, inactive

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