Mr. Tijay Broadnax, APDPROVIDER
Mr. Tijay Broadnax, APDPROVIDER is a Developmental Disabilities Clinic/Center in Plant City, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
1514 S Alexander St Ste 202Plant City, FL 33563-8418
Phone: (813) 652-8119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X (FL) |
|---|
Record details
| NPI number | 1235864000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APDPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
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