Tijay Broadnax, APD PROVIDER

NPI 1235864000 · on the registry since 2022 · sole proprietor

Practice

Address: 1514 S Alexander St Ste 202
Plant City, FL 33563
Phone: (813) 652-8119
Organisation at this address: Red Diamond Beauty
Wound & Skin Experts
A New Start - Florida, Llc
Plus Care Health Options Inc
Health Solutions Wellness Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 261QD1600X
261QD1600X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida