IndividualActive
Anne Broderick, D.M.D
NPI 1831419456 · Periodontics · Fort Myers, FL
Provider details
- NPI number
- 1831419456
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- No
- License
- DN 19411 (FL)
Specialties & taxonomies
Dental Providers
Practice location
7011 Cypress Ter
Suite 101
Fort Myers, FL 33907-8800
Phone: (954) 558-4635
Approximate (ZIP-level) locationGet directions
Mailing address
15660 Sw 12th St
Pembroke Pines, FL 33027-2233
Registry dates
- Enumerated
- 2010-06-04
- Last updated
- 2014-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.