Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Julianne M Wysocki Broadwater, DO

Individual provider Internal Medicine Physician · NPI 1124255203

Dr. Julianne M Wysocki Broadwater, DO is an Emergency Medicine in Daytona Beach, Florida. Qualified in 2009, 17 years ago. Practices with Bluewater Emergency Partners of Brunswick, LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone: (386) 425-2285
Fax: (386) 425-7522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS16421 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS16421 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence OS16421 (FL)

Record details

NPI number1124255203
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 16, 2009
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bluewater Emergency Partners Of Brunswick, Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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