Individual
LINDSEY NICOLE BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12500 N DALE MABRY HWY STE E, TAMPA, FL 33618-2809
(813) 261-8200
(813) 377-1677
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
006840
GA
363AM0700X
Medical Physician Assistant
Primary
PA9109608
FL
Other
Enumeration date
11/11/2011
Last updated
02/24/2023
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