Individual provider · Type 1 NPI

Cari Broderick, PA-C

Surgical Physician Assistant · Jacksonville, FL

NPI number 1609495936 Active

Practice location

14534 Old Saint Augustine Rd Ste 3210
Jacksonville, FL 32258-2645

Call (904) 675-4000 Map

Fax (904) 675-4007

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627

Other practice locations

  • 5191 First Coast Tech Pkwy # 3, Jacksonville, FL 32224-0609 · (904) 675-4000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9113167 (FL)
Physician Assistant 363A00000XPA9113167 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1609495936

Cari Broderick, PA-C's National Provider Identifier is 1609495936, issued on Apr 16, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 1, 2026.