Individual provider · Type 1 NPI
John Broussard, DO
Sports Medicine (Family Medicine) Physician · St. Petersburg, FL
Practice location
111 2nd Ave NE Ste 1401
St. Petersburg, FL 33701-3480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | OS12241 (FL) |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0102204383 (VA) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
5 other providers at this address
- Alliance Regenerative and Performance Medicine, PLLCSports Medicine (Family Medicine) Physician St. Petersburg, FL NPI 1104418292
- Alliance Sports RehabSports Physical Therapist St. Petersburg, FL NPI 1033701123
- Alexander EbingerSports Physical Therapist St. Petersburg, FL NPI 1366399289
- Brian Paul Broussard, DPTSports Physical Therapist St. Petersburg, FL NPI 1750809448
- Dennis Colon, DPTPhysical Therapist St. Petersburg, FL NPI 1710680533
About NPI 1174839161
John Broussard, DO's National Provider Identifier is 1174839161, issued on Aug 27, 2010. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 27, 2020.