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

Ethan Paul Broder

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831602184

Ethan Paul Broder is a Student in an Organized Health Care Education/Training Program in Coral Gables, Florida. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

1101 Stanford Dr
Coral Gables, FL 33146-2001
Phone: (203) 885-6489
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831602184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2017
Last updated in NPPESNovember 8, 2017
Mailing address1101 Stanford Dr, Coral Gables, FL 33146-2001

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