MS. ELISABETH BRODERICK


Address: 13020 Livingston Rd, Naples, FL 34105-5021
Phone: 2392603001

MS. ELISABETH BRODERICK (NPI# 1306822184) 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) 1306822184
Entity Type Individual
Full Name MS. ELISABETH BRODERICK
Credential MD
Practice Address 13020 Livingston Rd
Naples
FL 34105-5021
Practice Telephone 2392603001
Practice Fax Number 2393254041
Mailing Telephone 2392603001
Mailing Fax Number 2393254041
Enumeration Date 2005-12-22
Last Update Date 2020-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
79644 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 1B9QI 01
FL 100641800 05

Office Location

Street Address 13020 LIVINGSTON RD
City NAPLES
State FL
Zip Code 34105-5021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497116446 Anthony Nicholas Memmo Chiropractor 13020 Livingston Rd, Suite 14, Naples, FL 34105-5021 2016-03-17
1952770513 Sarthey Patel Pharmacist 13020 Livingston Rd, Ste 8, Naples, FL 34105-5021 2015-09-24
1184090938 Synergy Integrated Healthcare Inc Physical Therapist 13020 Livingston Rd, Naples, FL 34105-5021 2015-08-17
1871916486 Anik Lauzon Physical Therapist 13020 Livingston Rd, #9, Naples, FL 34105 2014-02-03
1396002952 Synergy Chiropractic and Health Center Pa Chiropractor 13020 Livingston Rd, Suite 14, Naples, FL 34105-5021 2012-04-19
1447528211 Kimberly D Burns Speech-Language Pathologist 13020 Livingston Rd, Suite 9, Naples, FL 34105-5021 2011-12-08
1477842821 Stephanie Ahasic Chiropractor 13020 Livingston Rd, Suite 14, Naples, FL 34105-5021 2011-04-06
1194025742 Marina Eschoyez-quiroga Physical Therapist 13020 Livingston Rd, Suite #9, Naples, FL 34105-5021 2010-10-29
1972782613 Sunshine Pharmacy At Livingston Inc Pharmacist 13020 Livingston Rd, #8, Naples, FL 34105-4959 2007-10-30
1841256740 Nicole Courtney Houser Physician Assistant 13020 Livingston Rd, Suite 14, Naples, FL 34105-5021 2006-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346593647 Derek Paul Wimmer Physician Assistant 1410 Mariposa Circle #105, Naples, FL 34105 2012-10-24
1851522007 Excel Physical Therapy of Naples, Inc. Physical Therapist 13020 Livingston Rd., Suite #9, Naples, FL 34105 2009-08-06
1902057235 Dewayne Lockhart Jr. Anesthesiology 3555 Kraft Rd Suite 120, Naples, FL 34105 2008-10-06
1578789830 John Urban Peters Family Medicine 4745 Europa Dr, Naples, FL 34105 2007-04-17
1386799534 Suncoast Dental Center Dentist 13040 Livingston Rd Suite 3, Naples, FL 34105 2007-01-25
1326198862 Amanda Weaver Specialist/Technologist 1220 Reserve Way, #306, Naples, FL 34105 2007-01-10
1093813669 Jeffrey Michael Rosenfield Emergency Medicine 13030 Livingston Road, Suite 3, Naples, FL 34105 2006-09-20
1578581773 Mark Goldstein Internal Medicine 132 Moorings Park Dr, Naples, FL 34105 2006-07-17
1851454094 Moorings Park Community Health Clinic/Center 111 Moorings Park Dr, Naples, FL 34105-2118 2006-12-19
1932134020 Gustavo Medina Physical Medicine & Rehabilitation 130 Moorings Park Dr, Naples, FL 34105-2122 2006-07-11
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851307177 Bernard V Jasmin Internal Medicine 200 Cocohatchee Dr, Naples, FL 34110-1191 2006-07-31
1942249198 Obayedur R Khan Internal Medicine 599 Tamiami Trl N Ste 204, Naples, FL 34102-5623 2006-06-05
1740281872 David Austin Gehring Internal Medicine 2685 Horseshoe Dr S, Va Primary Care Clinic, Naples, FL 34104-6113 2005-08-10
1952876724 Rizzi Geriatrics Associates Internal Medicine 936 Barcarmil Way, Naples, FL 34110-0903 2018-10-09
1144771825 Gabriel T. Rizzi Md Internal Medicine 936 Barcarmil Way, Naples, FL 34110-0903 2016-10-18
1760883276 Moorings Park Healthy Living Internal Medicine 132 Moorings Park Dr, Naples, FL 34105-2122 2014-09-16
1083022982 Moorings Park Healthy Living, Inc Internal Medicine 132 Moorings Park Dr, Naples, FL 34105-2122 2014-07-24
1164841995 Urooj Qazi Internal Medicine 730 Goodlette Rd N Ste 100, Naples, FL 34102-5617 2014-04-09
1588093512 Joseph Paul Bandeira Internal Medicine 311 9th St N Ste 110, Naples, FL 34102-5886 2013-11-12
1114296209 Moorings Park Healthy Living, Inc Internal Medicine 120 Moorings Park Dr, Naples, FL 34105-2122 2011-12-20
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City NAPLES
Zip Code 34105

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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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