| Todd Broder Md Pl | |
|
400 Health Park Blvd St Augustine FL 32086-5784 | |
| (954) 328-2863 | |
| Not Available |
| Full Name | Todd Broder Md Pl |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Todd Broder (MEMBER) |
| Authorized Official Contact | 9543282863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Broder Md Pl 2111 Sw 41st Ln Gainesville FL 32608-8000 Ph: (352) 336-5450 | Todd Broder Md Pl 400 Health Park Blvd St Augustine FL 32086-5784 Ph: (954) 328-2863 |
| NPI Number | 1730410812 |
|---|---|
| Provider Enumeration Date | 01/29/2010 |
| Last Update Date | 01/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730410812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME97336 (* (Not Available)) | Primary |
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