| Brodnan Medical Llc | |
|
1531 N Indian River Dr Cocoa FL 32922-6945 | |
| (321) 544-1020 | |
| Not Available |
| Full Name | Brodnan Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1531 N Indian River Dr, Cocoa, Florida |
| Authorized Official Name and Position | John Brodnan (OWNER) |
| Authorized Official Contact | 3215441020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brodnan Medical Llc 1531 N Indian River Dr Cocoa FL 32922-6945 Ph: (321) 544-1020 | Brodnan Medical Llc 1531 N Indian River Dr Cocoa FL 32922-6945 Ph: (321) 544-1020 |
| NPI Number | 1518682988 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 11/04/2022 |
| Medicare PECOS PAC ID | 1355711888 |
|---|---|
| Medicare Enrollment ID | O20221228000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518682988 | NPI | - | NPPES |
| Provider Name | John M Brodnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376571893 PECOS PAC ID: 1355305855 Enrollment ID: I20100309000402 |
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Steward Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 W Point Dr, Cocoa, FL 32922 Phone: 615-467-4158 Fax: 615-467-1267 | |
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