Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIJAY BROADNAX, APD PROVIDER
Active Sole ProprietorMR. TIJAY BROADNAX, APD PROVIDER is a Developmental Disabilities Clinic healthcare provider located in PLANT CITY, Florida. NPI 1235864000 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · PLANT CITY, FL
Registration Details
- NPI Number
- 1235864000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2022 (4.0557862232105 yrs)
- Last Updated
- Jul 18, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1514 S ALEXANDER ST STE 202PLANT CITY, FL, 335638418Browse FL providers · Browse ZIP 33563
- Phone
- 8136528119
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in PLANT CITY, FL
| Name | Credential | NPI |
|---|---|---|
| ANGELA G CLARK | — | 1164072492 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.