Jordan M Bromberg, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1275518391

Jordan M Bromberg, MD is a Geriatric Medicine (Internal Medicine) Physician in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in: FL
In the registry since: 2005

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986-1719
Phone: (772) 223-5665
Fax: (772) 223-5646

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Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RG0300X · Licence ME0045084 (FL)

Record details

NPI number	1275518391
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	December 13, 2005
Last updated in NPPES	October 9, 2020
Certification date	October 9, 2020