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Lauren Mikel Broadway, MD
Family Medicine Physician in Venice, Florida
NPI 1811263643

Lauren Mikel Broadway is a Family Medicine Physician based in Venice, FL. Lauren Mikel Broadway practices in Venice, FL and has the professional credentials of MD. The NPI Number for Lauren Mikel Broadway is 1811263643 and holds a License No. (Florida).

The current practice location address for Lauren Mikel Broadway is 417 Commercial Ct Ste C, Venice, FL and can be reached out via phone at 941-220-0300 and via fax at 941-220-0400.

Location: 417 Commercial Ct Ste C, Venice, FL, 34292-1655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811263643
Provider Name
Lauren Mikel Broadway
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
417 Commercial Ct Ste C, Venice, FL, 34292-1655
Phone Number
941-220-0300
Fax Number
941-220-0400
Provider Enumeration Date
03/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1513S 01 FL FL BLUE
institution
Provider Business Practice Location Address Details
Address
417 Commercial Ct Ste C
City
Venice
State
Florida
Zip
34292-1655
Phone Number
941-220-0300
Fax Number
941-220-0400
person
Provider Business Mailing Address Details
Address
417 Commercial Ct Ste C
City
Venice
State
Florida
Zip
34292-1655
Phone Number
941-220-0300
Fax Number
941-220-0400
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME124016 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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