Brodnan, John Michael
Brodnan, John Michael is an individual health care provider with primary practice located at 103 Longwood Ave , Rockledge FL 32955-2827. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Brodnan, John Michael can be contacted via phone (321) 631-5677.Contact Information
Primary practice address
103 Longwood Ave
Rockledge FL 32955-2827
Phone: (321) 631-5677
Fax: (321) 632-7225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME39994 | Florida |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ME39994 | Florida |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME39994 | Florida |
Profile Details
NPI number | 1376571893 |
---|---|
LBN Legal business name | Brodnan, John Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Aug 18th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376571893 | NPPES |
Florida | MEDICAID | 068442200 |
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