NPI 1003138041

Broster Jd LLC

Organisation Ophthalmology Physician Orlando, FL

Practice location

Address: 8701 Maitland Summit Blvd, Orlando, FL 32810-5915
Phone: (407) 385-1620
Mailing address: 8701 Maitland Summit Boulevard, Orlando, FL 32810

Authorised official

Name: Katie E Romano
Title: Coo
Phone: (407) 902-6419

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence ME101588 (FL)

Other Ophthalmology providers in Florida →

Registry record

NPI: 1003138041
Entity type: Organization
NPI issued: 18 Feb 2010
Record last updated: 13 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.