Brodrick, Thomas J

Brodrick, Thomas J is an individual health care provider with primary practice located at 1053 Medical Center Dr Suite 101, Orange City FL 32763-8260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brodrick, Thomas J can be contacted via phone (386) 774-2500.

Contact Information

Primary practice address
1053 Medical Center Dr Suite 101 Orange City FL 32763-8260
Phone: (386) 774-2500
Fax: (833) 450-4859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME0013528 Florida

Profile Details

NPI number 1780864934
LBN Legal business name Brodrick, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Apr 17th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780864934 NPPES
Florida MEDICAID 056451600

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