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Angela Broadnax
Mental Health Clinic/Center (Including Community Mental Health Center) in Macclenny, Florida
NPI 1457089682

Angela Broadnax is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Macclenny, FL and is specialized in Mental Health (Including Community Mental Health Center). Angela Broadnax practices in Macclenny, FL. The NPI Number for Angela Broadnax is 1457089682 and holds a License No. (Florida).

The current practice location address for Angela Broadnax is 505 Matecumbe Ct, Macclenny, FL and can be reached out via phone at 904-327-1135.

Location: 505 Matecumbe Ct, Macclenny, FL, 32063-8832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457089682
Provider Name
Angela Broadnax
Credential
Provider Entity Type
Individual
Gender
Female
Address
505 Matecumbe Ct, Macclenny, FL, 32063-8832
Phone Number
904-327-1135
Fax Number
Provider Enumeration Date
08/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
505 Matecumbe Ct
City
Macclenny
State
Florida
Zip
32063-8832
Phone Number
904-327-1135
Fax Number
person
Provider Business Mailing Address Details
Address
505 Matecumbe Ct
City
Macclenny
State
Florida
Zip
32063-8832
Phone Number
904-327-1135
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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