Brogdon, Brenda Kay

Brogdon, Brenda Kay is an individual health care provider with primary practice located at 301 N Alexander St Fl 3 , Plant City FL 33563-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Brogdon, Brenda Kay can be contacted via phone (813) 586-8187.

Contact Information

Primary practice address
301 N Alexander St Fl 3 Plant City FL 33563-4303
Phone: (813) 586-8187
Fax: (813) 321-6998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X ARNP1775942 Florida

Profile Details

NPI number 1417928615
LBN Legal business name Brogdon, Brenda Kay
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417928615 NPPES
Florida MEDICAID 302405900

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