Individual
MICHAEL BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20762 W DIXIE HWY, MIAMI, FL 33180-1146
(305) 682-0045
Mailing address
20762 W DIXIE HWY, MIAMI, FL 33180-1146
(305) 682-0045
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN0013389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071681200
—
FL
Enumeration date
11/29/2006
Last updated
07/08/2007
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