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Dr. Michael J Broom, MD
Specialist in Orlando, Florida
NPI 1750458253

Michael J Broom is a Specialist based in Orlando, FL. Michael J Broom practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Michael J Broom is 1750458253 and holds a License No. ME0052975 (Florida).

The current practice location address for Michael J Broom is 1405 S Orange Ave, Orlando, FL and can be reached out via phone at 407-481-2244 and via fax at 407-481-8160.

Location: 1405 S Orange Ave, Orlando, FL, 32856-8008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750458253
Provider Name
Michael J Broom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1405 S Orange Ave, Orlando, FL, 32856-8008
Phone Number
407-481-2244
Fax Number
407-481-8160
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
047366900 05 FL
institution
Provider Business Practice Location Address Details
Address
1405 S Orange Ave
City
Orlando
State
Florida
Zip
32806-2154
Phone Number
407-481-2244
Fax Number
407-481-8160
person
Provider Business Mailing Address Details
Address
1405 S Orange Ave
City
Orlando
State
Florida
Zip
32806-2154
Phone Number
407-481-2244
Fax Number
407-481-8160
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0052975 (Florida)
Definition
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.
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