Paula Leslee Brosz, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4713 Issued in FL

Practice address

12350 San Jose Blvd
Jacksonville, FL 32223-2800

Phone

(904) 584-9825

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1245822519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TELFORD DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598218",
            "telephone_number": "904-859-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232800",
            "telephone_number": "904-584-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSZ",
        "first_name": "PAULA",
        "middle_name": "LESLEE",
        "name_prefix": "Mrs.",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "4713",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "4713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Victoria Broome, PA-C
• Lindsay Boyett Broome, PHARMD
• Shannon Charity Broome
• Meaghan Brophy, MD
• Anne Marie Bross, NP
• Ashlyn N Brothers, DO
• Taylor Brotherton
• Solomon G Brotman, D.D.S.
• Thomas Brott, MD
• Nanako Broughton, MD

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.