Individual
MS. TERESA M BROXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N RIDGEWOOD AVENUE, DAYTONA BEACH, FL 32114
(386) 253-2828
(386) 252-5626
Mailing address
401 N RIDGEWOOD AVENUE, DAYTONA BEACH, FL 32114
(386) 253-2828
(386) 252-5626
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
05/02/2018
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