BEVERLY BROADNAX

SAINT PETERSBURG, FL
NPI1477969665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN142291)
Enumeration Date2014-07-08
Last Update Date2014-07-08
Business Address
-- BEVERLY BROADNAX
2814 EDWARDS AVE S
SAINT PETERSBURG, FL 33705-3653
Phone number: 727-642-6894
Mailing Address
-- BEVERLY BROADNAX
2814 EDWARDS AVE S
SAINT PETERSBURG, FL 33705-3653
Phone number: 727-642-6894