Individual provider · Type 1 NPI

Tijay Broadnax, APD PROVIDER

Developmental Disabilities Clinic/Center · Plant City, FL

NPI number 1235864000 Active

Practice location

1514 S Alexander St Ste 202
Plant City, FL 33563-8418

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: 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.).

4 other providers at this address

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About NPI 1235864000

Tijay Broadnax, APD PROVIDER's National Provider Identifier is 1235864000, issued on Jul 18, 2022. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Plant City, FL. The record was last updated on Jul 18, 2022.