Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW TODD BRADDOCK, D.O.
Active Sole ProprietorDR. MATTHEW TODD BRADDOCK, D.O. is a Family Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1417180886 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1417180886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2009 (16.766839985679 yrs)
- Last Updated
- Nov 20, 2024
- License
-
OS11091 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
810 LANE AVE SJACKSONVILLE, FL, 322054785Browse FL providers · Browse ZIP 32205
- Phone
- 9047839680
- Fax
- 9043907464
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| VICTORIA HOFF-JOINVILLE | D.O. | 1225030539 |
| DR. LOUIS JOHN LARMOYEUX JR. | DO | 1831193861 |
| DR. ELIZABETH FLETCHER TRAINER | MD | 1043214695 |
| DR. JOHN EZRA TRAINER III | M.D. | 1699770990 |
| HUI TANG | M.D. | 1649275488 |
| DR. HEBER J ROSA | M.D. | 1952306607 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.