M CATHERINE BRODERICK (NPI# 1225277825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225277825 |
| Entity Type | Individual |
| Full Name | M CATHERINE BRODERICK |
| Credential | PA |
| Practice Address |
1720 S Cook Avenue Orlando FL 32808 |
| Practice Telephone | 3218412605 |
| Mailing Telephone | 3218412605 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
013108 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1720 S COOK AVENUE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| Find all providers in zip 32808 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1649600891 | Raul F Velez | Physician Assistant | 14139 Budworth Cir, Orlando, FL 32832-6123 | 2013-11-24 |
| 1255630075 | Joleen Chapman | Physician Assistant | 122 Annie St, Orlando, FL 32806-1214 | 2011-03-18 |
| 1124354600 | Tiffany M Murray | Physician Assistant | 83 W Copeland Dr, Orlando, FL 32806-2002 | 2009-10-19 |
| 1033360938 | Monica M Rivera | Physician Assistant | 2591 Carrickton Cir, Orlando, FL 32824-4217 | 2008-10-09 |
| 1316104383 | Michele D Young | Physician Assistant | 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 | 2008-05-19 |
| 1033162011 | Southeastern Clinical Services,inc. | Physician Assistant | 4215 Edgewater, Orlando, FL 32804 | 2006-05-18 |
| 1386696631 | Kevin P Kingsley | Physician Assistant | 2501 N Orange Ave Ste 411, Orlando, FL 32804-4644 | 2006-05-16 |
| 1619928355 | Leslie Lauren Mackey | Physician Assistant | 601 E Rollins Ave, Orlando, FL 32803-1248 | 2006-05-15 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.