Search › Florida › 363LA2200X
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 LlcInferred 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