Dennis Bruce Mcbroom JR. D.P.M.

NPI 1689865453 - Podiatrist - 213ES0103X

NPI Details
NPI 1689865453
Gender Male
Enumeration Date 08/07/2007
Last Updated 04/04/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1890 LPGA BLVD
SUITE 230
DAYTONA BEACH FL, 32117-7130, US
Phone (386) 274-3336
Fax
Business Location
1890 LPGA BLVD
SUITE 230
DAYTONA BEACH FL, 32117-7130, US
Phone (386) 274-3336
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Florida
License Number PO 3283
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According to our database, Dr. Dennis Bruce Mcbroom JR. D.P.M. NPI is 1689865453, taxonomy code is 213ES0103X and license number is PO 3283, license state is located at Florida. Dennis Bruce Mcbroom JR. D.P.M. physically located at 1890 Lpga Blvd, Daytona Beach FL, 32117-7130. NPI Number Dennis Bruce Mcbroom JR. D.P.M. has the Individual type.

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1689865453 NPI number is provided on an as is basis without warranty of any kind. 1689865453 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis Bruce Mcbroom JR. D.P.M. are for informational purposes only.