| Dr Paul A Breault, OD | |
|
1647 Sun City Center Plz Ste 103, Sun City Center, FL 33573-5374 | |
| (813) 634-6344 | |
| Not Available |
| Full Name | Dr Paul A Breault |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 1647 Sun City Center Plz Ste 103, Sun City Center, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770517740 | NPI | - | NPPES |
| 59-3632508 | Other | FL | TAX-ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC3216 (Florida) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OPC 3216 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul A Breault, OD 1647 Sun City Center Plz Ste 103, Sun City Center, FL 33573-5374 Ph: (813) 634-6344 | Dr Paul A Breault, OD 1647 Sun City Center Plz Ste 103, Sun City Center, FL 33573-5374 Ph: (813) 634-6344 |
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