MS. BRENDA TRUELUCK BROADNAX, MEDICAID PROVIDER

Contractor

Active Individual
NPI: 1891970075

Practice Address

1421 SW 27TH AVE
#2701
Ocala, FL 34471

Phone: (352) 861-1590

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1891970075 is the National Provider Identifier for MS. BRENDA TRUELUCK BROADNAX, MEDICAID PROVIDER, a Contractor provider located in Ocala, FL. This NPI was enumerated on January 7, 2008.
MS. BRENDA TRUELUCK BROADNAX, MEDICAID PROVIDER practices at 1421 SW 27TH AVE, #2701, Ocala, FL 34471.

Quick Facts

NPI
1891970075
Type
Individual
Enumerated
Jan 7, 2008
Last Updated
Jan 7, 2008

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