Todd Broder in Saint Augustine - Forensic Psychiatry
Todd Broder - NPI 1699849349
Todd Broder is a Forensic Psychiatry in Saint Augustine, Florida. Todd Broder practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Todd Broder is 1699849349. The last update date is 2016-08-10.
Todd Broder's current location address is 400 Health Park Blvd, Saint Augustine, Florida. You can contact this provider via phone number 9543282863 and fax number 9048194041. The mailing address for Todd Broder is 400 Health Park Blvd, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Todd Broder |
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Address | 400 Health Park Blvd, Saint Augustine, Florida |
Phone Number | 9543282863 |
Fax Number | 9048194041 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1699849349 |
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Provider Enumeration Date | 2006-11-17 |
Last Updated Date | 2016-08-10 |
Provider Mailing Address Detail
Address | 400 Health Park Blvd |
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City | Saint Augustine |
State | Florida (FL) |
Post Code | 320865784 |
Phone Number | 9543282863 |
Fax Number | 9048194041 |
Provider's Primary Taxonomy Detail
Speciality | Forensic Psychiatry |
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Taxonomy | 2084F0202X |
Licence No | ME97336 |
Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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What is the unique 10-digit identification code assigned to Todd Broder by the Centers for Medicare & Medicaid Services?
The Todd Broder has been issued the NPI (National Provider Identifier) 1699849349, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Todd Broder is located?
The Todd Broder is situated at the following address: 400 Health Park Blvd, Saint Augustine, FL, 320865784.
What is Todd Broder's specialized field of practice, and what is the corresponding taxonomy classification code?
The Todd Broder's area of specialization is Forensic Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084F0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699849349 to Todd Broder?
The Centers for Medicare & Medicaid Services originally issued the 1699849349 to Todd Broder on 2006-11-17.
When was the information pertaining to Todd Broder most recently updated or revised?
The details related to Todd Broder, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-10.
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