Broderick, Gregory
Broderick, Gregory is an sole proprietor health care provider with primary practice located at 8432 Lockwood Ridge Rd , Sarasota FL 34243-2903. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Broderick, Gregory can be contacted via phone (941) 359-1105.Contact Information
Primary practice address
8432 Lockwood Ridge Rd
Sarasota FL 34243-2903
Phone: (941) 359-1105
Fax: (941) 359-1229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DO 5893 | Florida |
Profile Details
| NPI number | 1336551159 |
|---|---|
| LBN Legal business name | Broderick, Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2014 |
| Last updated | May 28th, 2014 - about 10 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.
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