Thomas P Broner in Jacksonville - Podiatrist
Thomas P Broner - NPI 1790740314
Thomas P Broner is a Podiatrist in Jacksonville, Florida. Thomas P Broner practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Thomas P Broner is 1790740314. The last update date is 2021-08-19.
Thomas P Broner's current location address is 5911 Timuquana Rd Unit 300, Jacksonville, Florida. You can contact this provider via phone number 9042515053 and fax number 9042242002. The mailing address for Thomas P Broner is 5911 Timuquana Rd Unit 300, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas P Broner |
|---|---|
| Address | 5911 Timuquana Rd Unit 300, Jacksonville, Florida |
| Phone Number | 9042515053 |
| Fax Number | 9042242002 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1790740314 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2021-08-19 |
Provider Mailing Address Detail
| Address | 5911 Timuquana Rd Unit 300 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322107897 |
| Phone Number | 9042515053 |
| Fax Number | 9042242002 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO924 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41050100 | FL | -- |
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What is the unique identifier code issued to Thomas P Broner by the Centers for Medicare & Medicaid Services?
The Thomas P Broner has been assigned the NPI (National Provider Identifier) 1790740314. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas P Broner located?
The Thomas P Broner is located at 5911 Timuquana Rd Unit 300, Jacksonville, FL 322107897.
What is Thomas P Broner's area of expertise and its corresponding taxonomy classification?
The Thomas P Broner's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
When did Thomas P Broner receive its 1790740314 assignment?
The Thomas P Broner was assigned its 1790740314 on 2006-04-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Thomas P Broner last refreshed?
The information related to the Thomas P Broner, including its address, specialty, and other relevant details, was last updated on 2021-08-19.