Nanako Broughton in Jacksonville - Internal Medicine

Nanako Broughton - NPI 1386710184

Nanako Broughton is a Internal Medicine in Jacksonville, Florida. Nanako Broughton practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Nanako Broughton is 1386710184. The last update date is 2023-06-07.

Nanako Broughton's current location address is 11430 Beach Blvd, Jacksonville, Florida. You can contact this provider via phone number 9049770065 and fax number 9045529829. The mailing address for Nanako Broughton is 11430 Beach Blvd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Nanako Broughton
Address 11430 Beach Blvd, Jacksonville, Florida
Phone Number 9049770065
Fax Number 9045529829
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386710184
Provider Enumeration Date 2006-11-27
Last Updated Date 2023-06-07

Provider Mailing Address Detail

Address 11430 Beach Blvd
City Jacksonville
State Florida (FL)
Post Code 322463806
Phone Number 9049770065
Fax Number 9045529829

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 101232003
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
003155018A GA --
10699500 FL --

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FAQs about Nanako Broughton

What is the unique provider identifier assigned to Nanako Broughton?

The Nanako Broughton has been issued the NPI (National Provider Identifier) 1386710184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Nanako Broughton's facilities are geographically located?

The facilities of Nanako Broughton are physically situated at the following location: 11430 Beach Blvd, Jacksonville, FL, 322463806.

What is the Nanako Broughton's area of specialization and corresponding taxonomy classification?

The Nanako Broughton's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

When did Nanako Broughton receive its 1386710184 assignment?

The Nanako Broughton was assigned its 1386710184 on 2006-11-27, which is the date when this unique identifier was issued to the organization.

When was the information regarding Nanako Broughton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nanako Broughton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-07.

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