IndividualActive
Gregory Broderick
NPI 1336551159 · Optician · Sarasota, FL
Gregory Broderick is a Optician provider in Sarasota, FL (NPI 1336551159).
Provider details
- NPI number
- 1336551159
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DO 5893 (FL)
Practice location
8432 Lockwood Ridge Rd
Sarasota, FL 34243-2903
Phone: (941) 359-1105
Fax: (941) 359-1229
Street-level locationGet directions
Mailing address
4399 35th St N
St Petersburg, FL 33714-3722
Registry dates
- Enumerated
- 2014-05-28
- Last updated
- 2014-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.