Individual
CHAD LANGSTON BROOME-WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
938 SAXON BLVD, SUITE 101 C, ORANGE CITY, FL 32763-8305
(386) 774-5485
(386) 775-0761
Mailing address
695 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2321
(386) 258-8722
(386) 258-8659
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME83626
FL
207UN0901X
Nuclear Cardiology Physician
ME 83626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06618
BCBS
FL
05
—
263267500
—
FL
Enumeration date
05/01/2006
Last updated
12/07/2017
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