TIJAY BROADNAX

PLANT CITY, FL
NPI1235864000
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
Mr. TIJAY BROADNAX APD Provider
1514 S ALEXANDER ST STE 202
PLANT CITY, FL 33563-8418
Phone number: 813-652-8119
Mailing Address
Mr. TIJAY BROADNAX APD Provider
1514 S ALEXANDER ST STE 202
PLANT CITY, FL 33563-8418
Phone number: 813-652-8119
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