Broderick, Elisabeth

Broderick, Elisabeth is an individual health care provider with primary practice located at 13020 Livingston Rd , Naples FL 34105-5021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Broderick, Elisabeth can be contacted via phone (239) 260-3001.

Contact Information

Primary practice address
13020 Livingston Rd Naples FL 34105-5021
Phone: (239) 260-3001
Fax: (239) 325-4041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 79644 Massachusetts

Profile Details

NPI number 1306822184
LBN Legal business name Broderick, Elisabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306822184 NPPES
Florida MEDICAID 100641800
Florida Other 1B9QI

Popular Providers