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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | ME101588 | FL | Yes |
Other names
- Hunter Vision (Doing Business As)
Practice location
8701 Maitland Summit BlvdOrlando, FL 32810-5915
Phone 407-385-1620
Mailing address
8701 Maitland Summit BoulevardOrlando, FL 32810
Authorized official
Katie E Romano
Coo
4079026419
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