Organization
TODD BRODER MD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD BRODER M.D. (MEMBER)
(954) 328-2863
Entity
Organization
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(954) 328-2863
Mailing address
2111 SW 41ST LN, GAINESVILLE, FL 32608-8000
(352) 336-5450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME97336
—
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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