Organization
ENDOCRINE SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD D BRODIE M.D. (PRESIDENT)
(239) 436-3666
Entity
Organization
Contact information
Practice address
730 GOODLETTE ROAD NORTH, SUITE 205, NAPLES, FL 34102-5618
(239) 436-3666
(239) 436-3678
Mailing address
730 GOODLETTE ROAD NORTH, SUITE 205, NAPLES, FL 34102-5618
(239) 436-3666
(239) 436-3678
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME73670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42327
BCBS
FL
01
—
460002821
RR CARE
—
Enumeration date
11/07/2006
Last updated
11/07/2016
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