Individual
MEGAN LEIGH BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 INGLESIDE AVE, JACKSONVILLE, FL 32205-7710
(321) 217-0203
Mailing address
1325 INGLESIDE AVE, JACKSONVILLE, FL 32205-7710
(321) 217-2034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
FL
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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