SearchFlorida363LA2200X

Shane Bridgman, DNP, APRN, AGNP-BC

NPI 1447762380 · on the registry since 2017

Practice

Address
36624 Grand Island Oaks Cir
Grand Island, FL 32735
Phone
(352) 801-9272
Fax
(908) 274-2081
Organisation at this address
Breathing Clinic
Bloom Medical Group Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363LG0600X
363L00000X
363L00000X
Licence states on file
MO, AZ, TX, KY, IL, OH, SC, TN, PA, FL, AL, CO, OR, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida