Breath of Life of Central Fl.

NPI #1154382489 in Clermont, Florida

Provider Information

NPI Number: 1154382489
Entity Type: Organization
Organization Name: Breath of Life of Central Fl.
Primary Specialty: Specialist
Enumeration Date: Mar 28, 2006
Last Updated: May 30, 2010

Practice Location

Address: 838 W DESOTO ST STE E
City: Clermont
State: Florida
ZIP Code: 34711-2110
Phone: (352) 255-8061

Authorized Official

Name: MRS. ACQUANETTA G MOORE-ELERBE, CDVC II, D.D.
Title: CEO
Phone: (352) 255-8061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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