Search › Florida › 164W00000X
Beverly Broadnax
NPI 1477969665 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2814 Edwards Ave S
Saint Petersburg, FL 33705 - Phone
- (727) 642-6894
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-08
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