Organization
BRODNAN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRODNAN (OWNER)
(321) 544-1020
Entity
Organization
Contact information
Practice address
1531 N INDIAN RIVER DR, COCOA, FL 32922-6945
(321) 544-1020
Mailing address
1531 N INDIAN RIVER DR, COCOA, FL 32922-6945
(321) 544-1020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
11/04/2022
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