Mark Brodersen in Jacksonville - Orthopaedic Surgery

Mark Brodersen - NPI 1326038175

Mark Brodersen is a Orthopaedic Surgery in Jacksonville, Florida. Mark Brodersen practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Mark Brodersen is 1326038175. The last update date is 2021-03-30.

Mark Brodersen's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Mark Brodersen is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Brodersen
Address 4500 San Pablo Rd S, Jacksonville, Florida
Phone Number 9049532000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1326038175
Provider Enumeration Date 2005-10-24
Last Updated Date 2021-03-30

Provider Mailing Address Detail

Address 4500 San Pablo Rd S
City Jacksonville
State Florida (FL)
Post Code 322241865
Phone Number 9049532000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No ME66126
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

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FAQs about Mark Brodersen

What is the Mark Brodersen's 1326038175?

The Mark Brodersen's NPI (National Provider Identifier) Number is 1326038175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Mark Brodersen's facilities are situated?

The facilities of Mark Brodersen are physically located at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.

What is the Mark Brodersen's area of specialization and corresponding taxonomy classification?

The Mark Brodersen's specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1326038175 to Mark Brodersen?

The Centers for Medicare & Medicaid Services originally issued the 1326038175 to Mark Brodersen on 2005-10-24.

When was the information regarding Mark Brodersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Brodersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-30.

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