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Search › Florida › Sports Medicine (Family Medicine) Physician

John Broussard, DO

NPI 1174839161 · on the registry since 2010 · sole proprietor

Practice

Address
111 2nd Ave Ne Ste 1401
St Petersburg, FL 33701
Phone
(727) 258-7224
Organisation at this address
Camgen Inc
Therachoice Inc.
Beyond The Needle
The Rock Clinic Llc
Sfl Care Of Fl, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
Sports Medicine (Family Medicine) Physician
207QS0010X
Also registered as
Sports Medicine (Family Medicine) Physician
Licence states on file
FL, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida