Broster JD LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME101588 Issued in FL

Legal business name

BROSTER JD LLC

Practice address

8701 Maitland Summit Blvd
Orlando, FL 32810-5915

Phone

(407) 385-1620

NPI assigned

Feb 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katie E Romano

Title

Coo

Phone

(407) 902-6419

Specialties & licenses 1

Addresses

Other names 1

• Hunter Vision Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1003138041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MAITLAND SUMMIT BOULEVARD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MAITLAND SUMMIT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105915",
            "telephone_number": "407-385-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROSTER JD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-902-6419"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME101588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunter Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Brooksby, PHARMD
• Michael J Broom, M.D.
• Desirea Tiffany Broome, PHARM.D.
• Geavanya Broomfield
• Simon Marie Benoit Brossier, PT, DPT, ATC, LAT
• Britney Anne Brothen, M.A., CCC-SLP
• Kayla Brotherton, PHARMD
• Edward A Brouillette, PHARM D
• Dana L Broussard Perry, MD
• Dominique Broutin, MD

• Ophthalmology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.