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1275518391
JORDAN M BROMBERG
PORT ST LUCIE, FL
NPI
1275518391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine Geriatric Medicine
(Licence: FL ME0045084)
Enumeration Date
2005-12-13
Last Update Date
2020-10-09
Business Address
JORDAN M BROMBERG M.D.
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-1719
Phone number: 772-223-5665
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Mailing Address
JORDAN M BROMBERG M.D.
PO BOX 417
STUART, FL 34995-0417
Phone number: 772-223-5665
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