Individual
DR. MICHAEL BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2165 TAMIAMI TRL S, VENICE, FL 34293-5034
(941) 493-8878
(941) 408-8446
Mailing address
2165 TAMIAMI TRL S, VENICE, FL 34293-5034
(941) 493-8878
(941) 408-8446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2949
FL
Other
Enumeration date
11/24/2006
Last updated
07/21/2010
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