Broussard, Brian Paul

Broussard, Brian Paul is an individual health care provider with primary practice located at 111 2Nd Ave Ne Ste 1401 , St Petersburg FL 33701-3480. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Broussard, Brian Paul can be contacted via phone (727) 258-7224.

Contact Information

Primary practice address
111 2Nd Ave Ne Ste 1401 St Petersburg FL 33701-3480
Phone: (727) 258-7224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 1679719421 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT34062 Florida

Profile Details

NPI number 1750809448
LBN Legal business name Broussard, Brian Paul
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2017
Last updated Jun 9th, 2021 - about 4 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.

Request for update

Popular Providers