Broadnax, Tijay

Broadnax, Tijay is an sole proprietor health care provider with primary practice located at 1514 S Alexander St Ste 202 , Plant City FL 33563-8418. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Broadnax, Tijay can be contacted via phone (813) 652-8119.

Contact Information

Primary practice address
1514 S Alexander St Ste 202 Plant City FL 33563-8418
Phone: (813) 652-8119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1235864000
LBN Legal business name Broadnax, Tijay
Credentials APD PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2022
Last updated Jul 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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