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Mr. Tijay Broadnax, APDPROVIDER
Developmental Disabilities Clinic/Center in Plant City, Florida
NPI 1235864000

Tijay Broadnax is a Developmental Disabilities Clinic/Center based in Plant City, FL and is specialized in Developmental Disabilities. Tijay Broadnax practices in Plant City, FL and has the professional credentials of APDPROVIDER. The NPI Number for Tijay Broadnax is 1235864000 and holds a License No. (Florida).

The current practice location address for Tijay Broadnax is 1514 S Alexander St Ste 202, Plant City, FL and can be reached out via phone at 813-652-8119.

Location: 1514 S Alexander St Ste 202, Plant City, FL, 33563-8418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235864000
Provider Name
Tijay Broadnax
Credential
APDPROVIDER
Provider Entity Type
Individual
Gender
Male
Address
1514 S Alexander St Ste 202, Plant City, FL, 33563-8418
Phone Number
813-652-8119
Fax Number
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1514 S Alexander St Ste 202
City
Plant City
State
Florida
Zip
33563-8418
Phone Number
813-652-8119
Fax Number
person
Provider Business Mailing Address Details
Address
1514 S Alexander St Ste 202
City
Plant City
State
Florida
Zip
33563-8418
Phone Number
813-652-8119
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Florida)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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