Brandi L. Broughton PHYSICIAN ASSISTANT

NPI 1043406481 - Physician Assistant - 363A00000X

NPI Details
NPI 1043406481
Gender Female
Enumeration Date 09/19/2007
Last Updated 09/12/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
8202 WASHINGTON ST STE 4
PORT RICHEY FL, 34668-6695, US
Phone (727) 848-3761
Fax (727) 849-0931
Business Location
8202 WASHINGTON ST STE 4
PORT RICHEY FL, 34668-6695, US
Phone (727) 848-3761
Fax (727) 849-0931
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA 9104237
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According to our database, Brandi L. Broughton PHYSICIAN ASSISTANT NPI is 1043406481, taxonomy code is 363A00000X and license number is PA 9104237, license state is located at Florida. Brandi L. Broughton PHYSICIAN ASSISTANT physically located at 8202 Washington St Ste 4, Port Richey FL, 34668-6695. NPI Number Brandi L. Broughton PHYSICIAN ASSISTANT has the Individual type.

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1043406481 NPI number is provided on an as is basis without warranty of any kind. 1043406481 is maintained by the National Plan & Provider Enumeration System. The contents of Brandi L. Broughton PHYSICIAN ASSISTANT are for informational purposes only.