Gregory Alistair Broderick M.D.

NPI 1093705899 - Urology - 208800000X

NPI Details
NPI 1093705899
Gender Male
Enumeration Date 10/24/2005
Last Updated 01/28/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-7330
Fax
Business Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-7330
Fax
Toxanomy
Taxonomy Code 208800000X
License State Florida
License Number ME76658
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According to our database, Dr. Gregory Alistair Broderick M.D. NPI is 1093705899, taxonomy code is 208800000X and license number is ME76658, license state is located at Florida. Gregory Alistair Broderick M.D. physically located at 4500 San Pablo Rd S, Jacksonville FL, 32224-1865. NPI Number Gregory Alistair Broderick M.D. has the Individual type.

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1093705899 NPI number is provided on an as is basis without warranty of any kind. 1093705899 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Alistair Broderick M.D. are for informational purposes only.