Doctor Name: | DR. HENRY B BRELAND |
NPI Number: | 1023089661 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME82374 |
Business Practice Address: | 103 E 23rd St Panama City, FL - 324054501 |
Business Phone Number: | 8507690338 |
Business Fax Number: | 8507856088 |
Mailing Address: | 103 E 23rd St, PANAMA CITY |
State: | FL |
Postal Code: | 324054501 |
Phone Number: | 8507690338 |
Fax Number: | 8507856088 |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 07/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | ME82374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |