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:
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Health care specialties

SpecialtyCodeLicense #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 12 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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