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Individual
DR. MATTHEW TODD BRADDOCK
Active
Individual
DR. MATTHEW TODD BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS11091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005982200
—
FL
01
—
P01085486
RAILROAD MEDICARE
FL
01
—
P01627926
RR MEDICARE
FL
Enumeration date
09/01/2009
Last updated
11/20/2024
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