ELIZABETH BREZA (NPI# 1184081465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184081465 |
| Entity Type | Individual |
| Full Name | ELIZABETH BREZA |
| Credential | ARNP-BC |
| Practice Address |
11513 N Main St Jacksonville FL 32218 |
| Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
| Practice Telephone | 9047516200 |
| Practice Fax Number | 9047511600 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992612 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9271482 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6100 Kennerly Rd, Suite 101, Jacksonville, FL 322164368 | 9047390050 | |
| 3627 University Blvd S, Jacksonville, FL 322164230 | 9043991623 |
| Street Address |
11513 N MAIN ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538146048 | Patrick Deverell Bianchi | Specialist | 11513 N Main St, Jacksonville, FL 32218-4002 | 2005-12-27 |
| 1467944918 | Courtney Michelle Griffin | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2018-05-31 |
| 1679071773 | Samantha Ericksen | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2018-01-24 |
| 1023419728 | Diana Medina | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2014-09-12 |
| 1710237276 | Elizabeth Keeler Marshall | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2012-09-12 |
| 1467718007 | Joan Helen Mccaulie | Internal Medicine | 11513 N Main St, Jacksonville, FL 32218-4002 | 2012-04-09 |
| 1235403221 | Baptist Cardiology, Inc. | Internal Medicine | 11513 N Main St, Jacksonville, FL 32218-4002 | 2012-03-08 |
| 1861506644 | Zhi J Yu | Family Medicine | 11513 N Main St, Jacksonville, FL 32218-4002 | 2006-08-18 |
| 1306861240 | Burton H. Mendel | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2006-07-13 |
| 1245255199 | Oceanway Medical Center, Inc. | Family Medicine | 11513 N Main St, Jacksonville, FL 32218-4002 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1497368757 | Arthur C Ricker Jr. | Nurse Practitioner | 501 E Bay St Fl 32202, Jacksonville, FL 32202-2927 | 2020-08-26 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 1366947475 | Tikilia Denise Scott | Nurse Practitioner | 3599 University Blvd S Ste 400, Jacksonville, FL 32216-4232 | 2018-03-29 |
| 1376065417 | Geraldine M Obi | Nurse Practitioner | 3599 University Blvd S Ste 1600, Jacksonville, FL 32216-7441 | 2017-07-11 |
| 1881130060 | Yaazmiyn White | Nurse Practitioner | 8868 Merseyside Ave, Jacksonville, FL 32219-4355 | 2017-01-12 |
| 1821545872 | Anmarie Chandler | Nurse Practitioner | 320 Branscomb Dr Sw Ste A, Jacksonville, AL 36265-3102 | 2016-09-07 |
| 1538523402 | Julia Peters Paul | Nurse Practitioner | 10898 Tarin Dr, Jacksonville, FL 32218-4808 | 2016-04-07 |
| 1487035465 | Aggie Kalyn Hunt | Nurse Practitioner | 237 Old White Street, Suite 1, Jacksonville, NC 28546-6351 | 2015-06-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on ELIZABETH BREZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.