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Individual

THOMAS P BRONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5301 PINE NOTCH PL, JACKSONVILLE, FL 32224-4411
(904) 472-6536
(904) 895-6056
Mailing address
5301 PINE NOTCH PL, JACKSONVILLE, FL 32224-4411
(904) 251-5053
(904) 895-6056

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO924
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0924
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041050100
FL
Enumeration date
04/18/2006
Last updated
04/17/2024
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