10D1002027 CLIA NUMBER - KENNETH E BRESKY DO PA

Laboratory Demographics

CLIA Number: 10D1002027

Facility Name: KENNETH E BRESKY DO PA

Facility Address:
10151 ENTERPRISE CENTER BLVD STE 108
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 740-4855

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255368452

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name Field Value
CLIA Number 10D1002027
LAB Type Physician Office
Facility Name KENNETH E BRESKY DO PA
Street 10151 ENTERPRISE CENTER BLVD STE 108
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 740-4855
CertificateType 4
CertificateEffectiveDate 7/26/2022
CertificateExpirationDate 7/25/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024