Breath of Life Diagnostics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

380652 Issued in FL

Legal business name

BREATH OF LIFE DIAGNOSTICS

Practice address

3505 Progress LN
Saint Cloud, FL 34769-6519

Phone

(407) 892-8925

Fax

(407) 892-8926

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Roberto Gonzalez, MD

Title

Owner

Phone

(407) 361-0755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1821471962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 PROGRESS LN",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696519",
            "telephone_number": "407-892-8925",
            "fax_number": "407-892-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 PROGRESS LN",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696519",
            "telephone_number": "407-892-8925",
            "fax_number": "407-892-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-361-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "380652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Bowers
• Brooke T. Bowling
• James E Bradley II, RN, CSFA
• Jennifer Lynn Bradley
• Shauna Jenai Braxton Turbi, RN
• Kelley Grayson Brenner, PA-C
• Staci B Brewer, MA, CCC-SLP
• Bridgepoint Psychiatry LLC
• Matthew Deon Brijmahal
• Brilliant Concepts Behavioral Associates

• Clinic/Center in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.