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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers |
Street Address |
1421 SW 27TH AVE #2701 |
City | OCALA |
State | FL |
Zip Code | 34471-2042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669913786 | Carolina Hoffman | Counselor | 1421 Sw 27th Ave, Apt 704, Ocala, FL 34471-2042 | 2017-03-09 |
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 |
Find all providers in zip 34471 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
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 |
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 |
Find all providers in OCALA |
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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.