Individual
WILSON ANTOINE BROUSSARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 FRUITVILLE RD, SARASOTA, FL 34232-1906
(941) 361-6909
(941) 361-6917
Mailing address
8547 GREAT MEADOW DR, SARASOTA, FL 34238-3309
(941) 730-0022
(941) 361-6917
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
68954
FL
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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