Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA BROADNAX
Active Sole ProprietorANGELA BROADNAX is a Mental Health Clinic healthcare provider located in MACCLENNY, Florida. NPI 1457089682 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · MACCLENNY, FL
Registration Details
- NPI Number
- 1457089682
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2022 (4.0328962500868 yrs)
- Last Updated
- Aug 15, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 MATECUMBE CTMACCLENNY, FL, 320638832Browse FL providers · Browse ZIP 32063
- Phone
- 9043271135
- Primary Specialty
-
Mental Health Clinic
261QM0801X
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.