Individual
JEFFREY P BROSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1150 NW 14TH ST, MIAMI, FL 33136-2137
(305) 270-5050
(305) 270-3846
Mailing address
1475 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1002
(305) 243-7249
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
ME68050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3781356-00
—
FL
Enumeration date
04/11/2006
Last updated
03/02/2022
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