MICHAEL J BROOM M.D., P.A. (NPI# 1881874154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881874154 |
| Entity Type | Organization |
| Organization Name | MICHAEL J BROOM M.D., P.A. |
| Other Organization Name | FLORIDA SPINECARE CENTER |
| Practice Address |
1405 S Orange Ave Second Floor Orlando FL 32806-2154 |
| Mailing Address |
Po Box 568008 Orlando FL 32856-8008 |
| Practice Telephone | 4074812244 |
| Practice Fax Number | 4074818160 |
| Mailing Telephone | 4074812244 |
| Mailing Fax Number | 4074818160 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | CHRIS BYRNES (ADDMIN) |
| Authorized Official Telephone | 4074812244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0052975 | FL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| FLORIDA SPINECARE CENTER | Doing Business As Name - Organization |
| Street Address |
1405 S ORANGE AVE SECOND FLOOR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861463259 | Orlando Center for Outpatient Surgery Lp | Clinic/Center | 1405 S Orange Ave, Suite 400, Orlando, FL 32806-2154 | 2006-02-01 |
| 1164955480 | American Access Care of Orlando Asc LLC | Clinic/Center | 1405 S Orange Ave, Suite 120, Orlando, FL 32806-2154 | 2017-04-04 |
| 1750663167 | Ashley N Tilton | Anesthesiologist Assistant | 1405 S Orange Ave, Suite 400, Orlando, FL 32806 | 2011-09-12 |
| 1124241385 | Robert Wesley Rowland | Physician Assistant | 1405 S Orange Ave, Ste 200, Orlando, FL 32806-2154 | 2007-04-10 |
| 1821211079 | Robert James Rice | Physician Assistant | 1405 S Orange Ave, Ste 200, Orlando, FL 32806-2154 | 2007-04-10 |
| 1750458253 | Michael J Broom | Specialist | 1405 S Orange Ave, Second Floor, Orlando, FL 32806-2154 | 2006-11-29 |
| 1174633887 | Douglas Schafer | Physical Therapy Assistant | 1405 S Orange Ave, Ste 101, Orlando, FL 32806-2154 | 2006-08-30 |
| 1457384091 | Lisa Bowers Md Pa | Anesthesiology | 1405 S Orange Ave, Suite 400, Orlando, FL 32806-2154 | 2006-07-08 |
| 1912930561 | Orlando Cardiovascular Center Lllp | Physiological Laboratory | 1405 S Orange Ave, Suite 120, Orlando, FL 32806-2154 | 2006-07-08 |
| 1144256710 | Lisa A Bowers | Anesthesiology | 1405 S Orange Ave, Suite 400, Orlando, FL 32806-2154 | 2006-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
| 1245748052 | Integrative Physical Medicine of Metro West LLC | Specialist | 1743 Park Center Dr Ste 200, Orlando, FL 32835-7621 | 2018-01-15 |
| 1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
| 1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
| 1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
| 1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
| 1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
| 1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
| 1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on MICHAEL J BROOM M.D., P.A..
| 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.