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Dr. Mark Brodeur, MD
Emergency Medical Services (Emergency Medicine) Physician in Jacksonville, Florida
NPI 1952389538

Mark Brodeur is a Emergency Medical Services (Emergency Medicine) Physician based in Orlando, FL and is specialized in Emergency Medical Services. Mark Brodeur practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Mark Brodeur is 1952389538 and holds a License No. ME0090285 (Florida).

The current practice location address for Mark Brodeur is 3625 University Blvd S, Jacksonville, FL and can be reached out via phone at 904-346-3606 and via fax at 904-346-0113.

Location: 3625 University Blvd S, Jacksonville, FL, 32886-0554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952389538
Provider Name
Mark Brodeur
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3625 University Blvd S, Jacksonville, FL, 32886-0554
Phone Number
904-346-3606
Fax Number
904-346-0113
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44098 01 FL BCBS
269864100 01 FL FLORIDA MEDICAID
P00139639 01 FL RRMCR
269864100 05 FL
P00139639 01 RAILROAD MEDICARE
787365756A 05 GA
institution
Provider Business Practice Location Address Details
Address
3625 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4207
Phone Number
904-346-3606
Fax Number
904-346-0113
person
Provider Business Mailing Address Details
Address
3625 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4207
Phone Number
904-346-3606
Fax Number
904-346-0113
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
ME0090285 (Florida)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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