John Broussard, DO
Primary Care Sports Medicine · St Petersburg, FL
UnclaimedDONPI 1174839161
- Primary taxonomy
- 207QS0010X
- Enumerated
- 2010-08-27
- Practice location
- St Petersburg, FL
- Last NPPES update
- 2020-08-27
State licenses
- FL · Osteopathic physician · NPPES self-reportedListed on NPI record
- VA · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.