Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER MARY BRODERICK, PA-C
ActiveMRS. JENNIFER MARY BRODERICK, PA-C is a Surgical Physician Assistant healthcare provider located in ST PETERSBURG, Florida. NPI 1962499723 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1962499723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2005 (20.839140255438 yrs)
- Last Updated
- Mar 29, 2013
- License
-
9102539 (FL)
Practice Information
- Address
-
960 7TH AVE NST PETERSBURG, FL, 337051347Browse FL providers · Browse ZIP 33705
- Phone
- 7278218101
- Fax
- 7278948360
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ST PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| ANGELA BOWERSOCK | PA-C | 1700875960 |
| JENNIFER L SMIGIERA | P.A.-C | 1619952934 |
| CODY E THOMPSON | PA-C | 1619953114 |
| JOANNE M VALONE | PA-C | 1477526838 |
| MR. JOSEPH J PICA | P.A. | 1568436012 |
| EDWARD ZAPOR | PA | 1982679510 |
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.