| Breen Health, Llc | |
|
11941 E Highway 316 Fort Mc Coy FL 32134-7818 | |
| (352) 236-0440 | |
| (352) 236-0717 |
| Full Name | Breen Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11941 E Highway 316, Fort Mc Coy, Florida |
| Authorized Official Name and Position | Sondra Smith (PRESIDENT/OWNER) |
| Authorized Official Contact | 7864098387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breen Health, Llc 11941 E Highway 316 Fort Mc Coy FL 32134-7818 Ph: (352) 236-0440 | Breen Health, Llc 11941 E Highway 316 Fort Mc Coy FL 32134-7818 Ph: (352) 236-0440 |
| NPI Number | 1144666439 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 09/25/2025 |
| Medicare PECOS PAC ID | 6204060312 |
|---|---|
| Medicare Enrollment ID | O20131003000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144666439 | NPI | - | NPPES |
| 683830 | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Pamela Lynn Breen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467515486 PECOS PAC ID: 0042117764 Enrollment ID: I20031218000888 |
| Provider Name | Sondra Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164759957 PECOS PAC ID: 2163558347 Enrollment ID: I20100326000417 |
| Provider Name | Tracy L Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083890271 PECOS PAC ID: 3476850876 Enrollment ID: I20160330001674 |
Thomas Internal Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15035 Ne Hwy 315, Fort Mc Coy, FL 32134 Phone: 352-236-2525 Fax: 352-236-8610 |