Individual
VIANNA VADZHIYA BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
140455
FL
Other
Enumeration date
04/13/2015
Last updated
05/12/2020
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