Individual provider · Type 1 NPI

Jennifer Mary Broderick, PA-C

Surgical Physician Assistant · St. Petersburg, FL

NPI number 1962499723 Active

Practice location

960 7th Ave N
St. Petersburg, FL 33705-1347

Call (727) 821-8101 Map

Fax (727) 894-8360

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X9102539 (FL)

Surgical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1962499723

Jennifer Mary Broderick, PA-C's National Provider Identifier is 1962499723, issued on Oct 5, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 29, 2013.