BRODERICK SRODES NPI 1275464968

NPI Information

  • NPI: 1275464968
  • Provider Name: BRODERICK SRODES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 320 W SABAL PALM PL STE 200
    LONGWOOD, FL
    ZIP 32779
  • Phone: (407) 676-4118

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NPI Details

Broderick Srodes is a mental health counselor in Longwood, FL. Broderick Srodes NPI is 1275464968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 W SABAL PALM PL STE 200
LONGWOOD, FL
ZIP 32779-621
Phone: (407) 676-4118

The enumeration date for this NPI number is 5/29/2026 and was last updated on 5/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthIMH29289FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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