Michael O. Broder, Od, PA

NPI #1770893471 in Venice, Florida

Provider Information

NPI Number: 1770893471
Entity Type: Organization
Organization Name: Michael O. Broder, Od, PA
Primary Specialty: Optometrist
Enumeration Date: Oct 15, 2010
Last Updated: Oct 27, 2010

Practice Location

Address: 2165 TAMIAMI TRL S
City: Venice
State: Florida
ZIP Code: 34293-5034
Phone: (941) 493-8787

Authorized Official

Name: MS. JANE ELLEN BARTON
Title: RECEPTIONIST
Phone: (941) 493-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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