Jennifer Mary Broderick in St Petersburg - Surgical
Jennifer Mary Broderick - NPI 1962499723
Jennifer Mary Broderick is a Surgical in St Petersburg, Florida. Jennifer Mary Broderick practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jennifer Mary Broderick is 1962499723. The last update date is 2013-03-29.
Jennifer Mary Broderick's current location address is 960 7th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7278218101 and fax number 7278948360. The mailing address for Jennifer Mary Broderick is 960 7th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Mary Broderick |
|---|---|
| Address | 960 7th Ave N, St Petersburg, Florida |
| Phone Number | 7278218101 |
| Fax Number | 7278948360 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1962499723 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2013-03-29 |
Provider Mailing Address Detail
| Address | 960 7th Ave N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337051347 |
| Phone Number | 7278218101 |
| Fax Number | 7278948360 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 9102539 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291647900 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jennifer Mary Broderick by the Centers for Medicare & Medicaid Services?
The Jennifer Mary Broderick has been issued the NPI (National Provider Identifier) 1962499723, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jennifer Mary Broderick?
The Jennifer Mary Broderick is physically situated at 960 7Th Ave N, in the city of St Petersburg, state of FL, with the postal code 337051347.
What is the area of specialization for Jennifer Mary Broderick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Mary Broderick is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.
When did Jennifer Mary Broderick receive its 1962499723 assignment?
The Jennifer Mary Broderick was assigned its 1962499723 on 2005-10-05, which is the date when this unique identifier was issued to the organization.
When was the Jennifer Mary Broderick's information last updated?
The Jennifer Mary Broderick's information was last updated on 2013-03-29.
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