Broughton, Brandi L.

Broughton, Brandi L. is an individual health care provider with primary practice located at 12900 Cortez Blvd Ste 205 , Brooksville FL 34613-4898. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Broughton, Brandi L. can be contacted via phone (813) 321-1786.

Contact Information

Primary practice address
12900 Cortez Blvd Ste 205 Brooksville FL 34613-4898
Phone: (813) 321-1786
Fax: (813) 321-1787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9104237 Florida

Profile Details

NPI number 1043406481
LBN Legal business name Broughton, Brandi L.
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Jan 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043406481 NPPES
Florida Other PA9104237 LICENSE

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