MS. MAUREEN O'NEILL BRODBECK


Address: 114 Lake Arbor Dr, Palm Springs, FL 33461-2103
Phone: 5619676535

MS. MAUREEN O'NEILL BRODBECK (NPI# 1265617260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265617260
Entity Type Individual
Full Name MS. MAUREEN O'NEILL BRODBECK
Credential R.T. (M)
Practice Address 114 Lake Arbor Dr
Palm Springs
FL 33461-2103
Practice Telephone 5619676535
Mailing Telephone 5619676535
Enumeration Date 2008-01-08
Last Update Date 2008-01-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2471M2300X Radiologic Technologist
Specialization: Mammography
14209 MA Technologists, Technicians & Other Technical Service Providers
Y 2471M2300X Radiologic Technologist
Specialization: Mammography
CRT11706 FL Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 114 LAKE ARBOR DR
City PALM SPRINGS
State FL
Zip Code 33461-2103

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Taxonomy Information

Taxonomy Code 2471M2300X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Mammography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619408853 Manatee Memorial Hospital Lp Radiologic Technologist 300 Riverside Dr E Ste 3000, Bradenton, FL 34208-1024 2017-03-21
1780876532 Carol Ann Borkowski Radiologic Technologist 5901 Broken Sound Pkwy, Ste 500, Boca Raton, FL 33487 2007-08-15
1023216843 Patricia L Thomas Radiologic Technologist 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 2007-07-03

Competitor

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City PALM SPRINGS
Zip Code 33461

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Dataset Information

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.

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