Individual
THOMAS J BRODRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1053 MEDICAL CENTER DR, SUITE 101, ORANGE CITY, FL 32763-8260
(386) 774-2500
(833) 450-4859
Mailing address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(386) 736-4348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0013528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056451600
—
FL
Enumeration date
11/05/2007
Last updated
04/17/2024
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