Individual
DR. JOHN BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 2ND AVE NE STE 1401, ST PETERSBURG, FL 33701-3480
(727) 258-7224
Mailing address
111 2ND AVE NE STE 1401, ST PETERSBURG, FL 33701-3480
(727) 258-7224
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
0102204383
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS12241
FL
Other
Enumeration date
08/27/2010
Last updated
08/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us