Gregory Broderick, MD | |
4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | |
(904) 953-2000 | |
Not Available |
Full Name | Gregory Broderick |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 41 Years |
Location | 4500 San Pablo Rd S, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093705899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME76658 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Florida | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic - Florida | 5698689297 | 1328 |
Entity Name | Mayo Clinic Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
Mailing Address | Practice Location Address |
---|---|
Gregory Broderick, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: () - | Gregory Broderick, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 |
Amanda Elizabeth Kahn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Eric Alee Vance Qualkenbush, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Daniela Andrea Haehn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922 |