NPI 1336551159
Gregory Broderick
Practice location
- Address
- 8432 Lockwood Ridge Rd, Sarasota, FL 34243-2903
- Phone
- (941) 359-1105
- Fax
- (941) 359-1229
- Mailing address
- 4399 35th St N, St Petersburg, FL 33714-3722
Registered specialties
Optician
Primary
Registry record
- NPI
- 1336551159
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 May 2014
- Record last updated
- 28 May 2014
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.