Individual provider · Type 1 NPI

Brenda Trueluck Broadnax, MEDICAID PROVIDER

Contractor · Ocala, FL

NPI number 1891970075 Active

Practice location

1421 SW 27th Ave, #2701
Ocala, FL 34471-2042

Fax (351) 861-1590

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1891970075

Brenda Trueluck Broadnax, MEDICAID PROVIDER's National Provider Identifier is 1891970075, issued on Jan 7, 2008. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Ocala, FL. The record was last updated on Jan 7, 2008.