Jennifer S Broyles in St Petersburg - Family Medicine

Jennifer S Broyles - NPI 1235259011

Jennifer S Broyles is a Family Medicine in St Petersburg, Florida. Jennifer S Broyles practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer S Broyles is 1235259011. The last update date is 2022-02-01.

Jennifer S Broyles's current location address is 6450 38th Ave N Ste 400, St Petersburg, Florida. You can contact this provider via phone number 7275454444 and fax number 7275455855. The mailing address for Jennifer S Broyles is 6450 38th Ave N Ste 400, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer S Broyles
Address 6450 38th Ave N Ste 400, St Petersburg, Florida
Phone Number 7275454444
Fax Number 7275455855
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1235259011
Provider Enumeration Date 2007-03-29
Last Updated Date 2022-02-01

Provider Mailing Address Detail

Address 6450 38th Ave N Ste 400
City St Petersburg
State Florida (FL)
Post Code 337101653
Phone Number 7275454444
Fax Number 7275455855

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 41052
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1508624 TN --

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FAQs about Jennifer S Broyles

What is the unique 10-digit identification code assigned to Jennifer S Broyles by the Centers for Medicare & Medicaid Services?

The Jennifer S Broyles has been issued the NPI (National Provider Identifier) 1235259011, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jennifer S Broyles?

The Jennifer S Broyles is physically situated at 6450 38Th Ave N Ste 400, in the city of St Petersburg, state of FL, with the postal code 337101653.

What is the Jennifer S Broyles's specialty and taxonomy code?

The Jennifer S Broyles's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did Jennifer S Broyles receive its 1235259011 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer S Broyles was assigned its 1235259011 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Jennifer S Broyles's information last updated?

The Jennifer S Broyles's information was last updated on 2022-02-01.

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