Michael Broder, O.D.

Optometrist · Venice, FL

Individual Active NPI

NPI number 1225104136

Practice location

2165 Tamiami Trl S
Venice, FL 34293-5034
Phone
(941) 493-8878
Fax
(941) 408-8446

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NPI record

NPI
1225104136
Entity type
Individual (Type 1)
Enumeration date
November 24, 2006
Last updated
July 21, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPC2949 FL

About Dr. Broder

Michael Broder, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2165 Tamiami Trl S, Venice, FL 34293-5034. The NPI number 1225104136 was assigned on November 24, 2006 and the record was last updated on July 21, 2010.

Dr. Broder lists a license in the registry: #OPC2949 (FL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Broder, O.D.?

The NPI number is 1225104136.

What is the phone number of Dr. Broder?

The phone number listed for the practice location is (941) 493-8878.

Where is Dr. Broder located?

2165 Tamiami Trl S, Venice, FL 34293-5034.

What is the taxonomy code for Dr. Broder?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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