TODD BRODER MD PL
Psychiatric at Health Park Blvd, Saint Augustine, FL

License number
Florida ME97336
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. TODD BRODER M.D.
Title: MEMBER
Phone: (954) 328-2863
Address
Address 2
400 Health Park Blvd, Saint Augustine, FL 32086
2111 SW 41St Ln, Gainesville, FL 32608
National Provider ID: 1730410812
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TODD BRODER, M.D., P.L

400 Health Park Blvd, Saint Augustine, FL 32086

Industry:
Psychiatrist
Doing business as:
Todd Broder MD
Registration:
Nov 25, 2009
Phone:
(904) 819-4565 (Phone)
State ID:
L09000113188
Business type:
Florida Limited Liability Company
Todd Broder, 17 Zamora St, Saint Augustine, FL 32084 (Physical)
Agent:
Broder, Todd,17 Zamora St, Saint Augustine, FL 32084 (Physical)
EIN:
27-1375102

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