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Dr. Matthew Todd Braddock, DO
Family Medicine Physician in Jacksonville, Florida
NPI 1417180886

Matthew Todd Braddock is a Family Medicine Physician based in Atlanta, FL. Matthew Todd Braddock practices in Jacksonville, FL and has the professional credentials of DO. The NPI Number for Matthew Todd Braddock is 1417180886 and holds a License No. OS11091 (Florida).

The current practice location address for Matthew Todd Braddock is 810 Lane Ave S, Jacksonville, FL and can be reached out via phone at 904-783-9680 and via fax at 904-390-7464.

Location: 810 Lane Ave S, Jacksonville, FL, 30374-6638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417180886
Provider Name
Matthew Todd Braddock
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
810 Lane Ave S, Jacksonville, FL, 30374-6638
Phone Number
904-783-9680
Fax Number
904-390-7464
Provider Enumeration Date
09/01/2009
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01085486 01 FL RAILROAD MEDICARE
P01627926 01 FL RR MEDICARE
005982200 05 FL
institution
Provider Business Practice Location Address Details
Address
810 Lane Ave S
City
Jacksonville
State
Florida
Zip
32205-4785
Phone Number
904-783-9680
Fax Number
904-390-7464
person
Provider Business Mailing Address Details
Address
810 Lane Ave S
City
Jacksonville
State
Florida
Zip
32205-4785
Phone Number
904-783-9680
Fax Number
904-390-7464
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS11091 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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