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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN PAUL BRODER

Active

ETHAN PAUL BRODER is a Athletic Trainer healthcare provider located in CORAL GABLES, Florida. NPI 1831602184 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CORAL GABLES, FL

Registration Details

NPI Number
1831602184
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2017 (8.7394341905527 yrs)
Last Updated
Nov 8, 2017

Practice Information

Address
1101 STANFORD DR
CORAL GABLES, FL, 331462001
Browse FL providers · Browse ZIP 33146
Phone
2038856489
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in CORAL GABLES, FL

Name Credential NPI
MR. SCOTT LEE MCGONAGLE ATC 1083604375
MS. ALANA BETH EICHMAN ATC, MED, PES 1861464737
MR. DENNIS COONAN MSE, LAT, ATC 1568509347
DAVID JOSEPH AHOUSE ATC 1952428138
DR. KYSHA HARRIELL PHD, ATC, LAT 1902065659
LESLEY-ANNE KING MS, ATC 1902031768
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.