DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ARTHUR PAUL BROADERICK MD

MEDICARE:  DR. ARTHUR PAUL BROADERICK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianME69348FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3050074614OTHERFLRAILROAD MEDICARE
428253XOTHERFLMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
228253OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1922104678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR PAUL BROADERICK MD
Provider Business Mailing Address
First Line : PO BOX 7419
Second Line :
City : ORLANDO
State : FL
Zip : 32891-7419
Country : US
Telephone Number : 352-867-8898
Fax Number : 352-732-6282
Provider Business Practice Location Address
First Line : 2190 HIGHWAY 85 N
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-1045
Country : US
Telephone Number : 352-867-8898
Fax Number : 352-732-6282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 08/12/2011

Similar Medicare Providers

1144215195 — STERLING EMERGENCY SERVICES OF FLORIDA, PA
Practice Location Address:
2190 HIGHWAY 85 N
NICEVILLE, FL
32578-1045
Practice Phone: 850-678-4131
Practice Fax:
1336120187 — OKALOOSA HOSPITAL, INC
Practice Location Address:
2190 HIGHWAY 85 N
NICEVILLE, FL
32578-1045
Practice Phone: 850-729-9407
Practice Fax: 850-729-9418
1760463525 — DR. JAMES A DERBY MD
Practice Location Address:
2190 HIGHWAY 85 N
NICEVILLE, FL
32578-1045
Practice Phone: 850-678-4181
Practice Fax: 850-729-9418
1881675544 — MR. LOUIS VAGIAS II MD
Practice Location Address:
2190 HIGHWAY 85 N
NICEVILLE, FL
32578-1045
Practice Phone: 850-729-9407
Practice Fax: 850-729-9418
1902857972 — 4MD2 PHYSICIAN SERVICES OF NICEVILLE LLC
Practice Location Address:
2190 HIGHWAY 85 N
NICEVILLE, FL
32578-1045
Practice Phone: 850-729-9490
Practice Fax: 205-437-5998
1205889524 — DR. PATRICK F CONRAD MD
Practice Location Address:
2190 HIGHWAY 85 N
NICEVILLE, FL
32578-1045
Practice Phone: 850-729-9490
Practice Fax: 205-437-5998
1629021415 — PAUL HART MD
Practice Location Address:
2190 HIGHWAY 85 N
NICEVILLE, FL
32578-1045
Practice Phone: 850-729-9407
Practice Fax: 850-729-9418

Directions to “ DR. ARTHUR PAUL BROADERICK MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.