DR. Michael Broder, O.D.

NPI #1225104136 in Venice, Florida

Provider Information

NPI Number: 1225104136
Entity Type: Individual
Name: DR. Michael Broder, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 24, 2006
Last Updated: Jul 21, 2010

Practice Location

Address: 2165 TAMIAMI TRL S
City: Venice
State: Florida
ZIP Code: 34293-5034
Phone: (941) 493-8878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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