Provider Demographics
NPI:1881683647
Name:BRETON, CRISTIAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTIAN
Middle Name:F
Last Name:BRETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 SW 117TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4824
Mailing Address - Country:US
Mailing Address - Phone:305-670-4424
Mailing Address - Fax:305-670-4434
Practice Address - Street 1:8200 SW 117TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4824
Practice Address - Country:US
Practice Address - Phone:305-670-4424
Practice Address - Fax:305-670-4434
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55447207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL038987100Medicaid
FL038987100Medicaid
08969Medicare ID - Type Unspecified