# BROSTER JD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hunter Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003138041
- **Authorized official:** KATIE E ROMANO (COO)
- **Authorized official phone:** (407) 902-6419

## Contact information

- **Practice address:** 8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
- **Practice address phone:** (407) 385-1620
- **Mailing address:** 8701 MAITLAND SUMMIT BOULEVARD, ORLANDO, FL 32810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME101588 | FL | Yes |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 05/13/2020
