Basic Information
Provider Information
NPI: 1821026220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BREE
FirstName: DOROTHY
MiddleName: J
NamePrefix: MRS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
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OtherCredential:  
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Mailing Information
Address1: 5827 CORPORATE WAY
Address2: FLORIDA COMMUNITY HEALTH CENTERS, INC.
City: WEST PALM BEACH
State: FL
PostalCode: 334072000
CountryCode: US
TelephoneNumber: 5618449443
FaxNumber: 5614729692
Practice Location
Address1: 1871 SE TIFFANY AVE
Address2: SUITE 200
City: PORT SAINT LUCIE
State: FL
PostalCode: 349527585
CountryCode: US
TelephoneNumber: 7723374000
FaxNumber: 5618472307
Other Information
ProviderEnumerationDate: 06/28/2006
LastUpdateDate: 03/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XARNP9241235FLY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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