MS. BRENDA TRUELUCK BROADNAX


Address: 1421 Sw 27th Ave, #2701, Ocala, FL 34471-2042
Phone: 3528611590

MS. BRENDA TRUELUCK BROADNAX (NPI# 1891970075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891970075
Entity Type Individual
Full Name MS. BRENDA TRUELUCK BROADNAX
Credential MEDICAID PROVIDER
Practice Address 1421 Sw 27th Ave
#2701
Ocala
FL 34471-2042
Practice Telephone 3528611590
Practice Fax Number 3518611590
Mailing Telephone 3528611590
Mailing Fax Number 3518611590
Enumeration Date 2008-01-07
Last Update Date 2008-01-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor Other Service Providers

Office Location

Street Address 1421 SW 27TH AVE
#2701
City OCALA
State FL
Zip Code 34471-2042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669913786 Carolina Hoffman Counselor 1421 Sw 27th Ave, Apt 704, Ocala, FL 34471-2042 2017-03-09

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NPI Name Taxonomy Address Enumeration
1790385383 Samer Faragalla Pharmacist 2600 Sw 19th Ave Rd, Ocala, FL 34471 2020-10-31
1336789684 Anthony Smith Behavior Technician 2102 Sw 20th Place Ste 302, Ocala, FL 34471 2020-01-14
1871136788 Toni Trask Counselor 300 Se Sanchez Ave, Ocala, FL 34471 2019-10-23
1538701354 Sdx Home Care Operations, LLC In Home Supportive Care 1315 Se 25th Loop #102, Ocala, FL 34471 2019-10-14
1730666355 Next Pt Group Florida, LLC Occupational Therapist 1661 Se 31st St Unit 3, Ocala, FL 34471 2018-07-26
1902397680 Aidan Thurian Charles Student in an Organized Health Care Education/Training Program 1431 Sw First Avenue, Ocalu, FL 34471 2018-05-29
1871084426 Infectious Diseases Specialty Associates Pllc Internal Medicine 150 Se 17th St Ste 801, Ocala, FL 34471 2018-05-18
1528560950 Guillot Enterprises, LLC Hearing Instrument Specialist 2400 Sw College Rd., Suite 202, Ocala, FL 34471 2018-03-01
1518469071 Jordan Griffis Nurse Practitioner 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 2018-03-01
1780192112 Pmc Knee Pain & Restoration LLC Preventive Medicine 200 Sw 8th St Ste A, Ocala, FL 34471 2018-01-19
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538567805 Family Health Services, LLC Contractor 3306 Sw 26th Ave Ste 301, Ocala, FL 34471-7854 2014-12-18
1720495179 Carol Sue Youngstrom Contractor 13440 Sw 19th Pl, Ocala, FL 34481-4006 2014-07-17
1356753628 Ronald Maret Contractor 210 Se 7th St, Ocala, FL 34471-4250 2014-05-21
1346679131 Zenia Robinson Contractor 509 Sapphire Ln, Ocala, FL 34472-2384 2013-11-02
1619120854 Patricia Palmer Bothwell Contractor 705 Ne 9th St, Ocala, FL 34470-5312 2008-10-31
1730342205 Erin Marie Varney Contractor 1409 Ne 22nd Ave # 107, Ocala, FL 34470-7731 2008-07-05
1144496282 Carolyn Mayo-jenkins Contractor 4212 Sw 22nd St, Ocala, FL 34474-1816 2008-05-07
1679749261 Cynthia Elaine Johnson Contractor 174 Willow Rd, Ocala, FL 34472-8679 2008-05-02
1417123217 Cynthia Jean Feo Contractor 65 Bahia Trace Cir, Ocala, FL 34472-2163 2008-05-01
1114461308 The Guerrette Institute, LLC Contractor 5305 Se 34th St, Ocala, FL 34480-1482 2016-12-07
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Competitor

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City OCALA
Zip Code 34471

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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