Gregory Broderick
Gregory Broderick is an Optician in Sarasota, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
8432 Lockwood Ridge RdSarasota, FL 34243-2903
Phone: (941) 359-1105
Fax: (941) 359-1229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence DO 5893 (FL) |
|---|
Record details
| NPI number | 1336551159 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 28, 2014 |
| Last updated in NPPES | May 28, 2014 |
| Mailing address | 4399 35th St N, St Petersburg, FL 33714-3722 |
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