Ethan Paul Broder
Athletic Trainer · Coral Gables, FL
Practice location
1101 Stanford DrCoral Gables, FL 33146-2001
- Phone
- (203) 885-6489
NPI record
- NPI
- 1831602184
- Entity type
- Individual (Type 1)
- Enumeration date
- November 8, 2017
- Last updated
- November 8, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Ethan Broder
Ethan Paul Broder is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1101 Stanford Dr, Coral Gables, FL 33146-2001. The NPI number 1831602184 was assigned on November 8, 2017 and the record was last updated on November 8, 2017.
Frequently asked questions
What is the NPI number of Ethan Paul Broder?
The NPI number is 1831602184.
What is the phone number of Ethan Broder?
The phone number listed for the practice location is (203) 885-6489.
Where is Ethan Broder located?
1101 Stanford Dr, Coral Gables, FL 33146-2001.
What is the taxonomy code for Ethan Broder?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.
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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