Breeze Aesthetics, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BREEZE AESTHETICS, INC

Practice address

5763 Stewart Ave
Port Orange, FL 32127-4703

Phone

(386) 295-3512

Fax

(386) 222-7376

NPI assigned

Aug 30, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ann M Gaffka, APRN

Title

President

Phone

(386) 295-3512

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1255051264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5763 STEWART AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274703",
            "telephone_number": "386-295-3512",
            "fax_number": "386-222-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5763 STEWART AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274703",
            "telephone_number": "386-295-3512",
            "fax_number": "386-222-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE AESTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "GAFFKA",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-295-3512",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "doximity",
            "affiliation": "N",
            "endpointDescription": "physician website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5763 Stewart Ave",
            "city": "Port Orange",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321274703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brain and Spine Institute of Port Orange, LLC
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• Raynard Brant, RBT
• Beatrice Bratu, MD
• Teresa Brennan, D.C.
• Jacquelyn Tiffany Brenner, DPT
• Brightstars Helping Hands LLC
• Brightstars Helping Hands LLC
• Gregory Brigola, D.C.

• Primary Care Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.