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Broster Jd LLC

Ophthalmology in Orlando, FL. Organization (NPI-2).

NPI number1003138041
StatusActive
Last updated in NPPESMay 13, 2020

Details

NPI
1003138041
Entity type
Organization (NPI-2)
Legal business name
Broster Jd LLC
Organization subpart
No
Enumeration date
Feb 18, 2010
Certification date
May 13, 2020
Last updated
May 13, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyME101588FLYes

Other names

  • Hunter Vision (Doing Business As)

Practice location

8701 Maitland Summit Blvd
Orlando, FL 32810-5915

Phone 407-385-1620

Mailing address

8701 Maitland Summit Boulevard
Orlando, FL 32810

Authorized official

Katie E Romano
Coo
4079026419

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Ophthalmology Physician providers in Orlando, FL

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