Smith, Kristy Breuhl
Smith, Kristy Breuhl is an individual health care provider with primary practice located at 2000 Sw Archer Rd , Gainesville FL 32608-1136. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Smith, Kristy Breuhl can be contacted via phone (352) 265-7999.Contact Information
Primary practice address
2000 Sw Archer Rd
Gainesville FL 32608-1136
Phone: (352) 265-7999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 513630 TRN 9750 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME111429 | Florida |
Profile Details
| NPI number | 1588864201 |
|---|---|
| LBN Legal business name | Smith, Kristy Breuhl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Sep 28th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588864201 | NPPES |
| Florida | MEDICAID | 006455700 |
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