Linda Carol Broussard in Hemet - Surgical

Linda Carol Broussard - NPI 1679584445

Linda Carol Broussard is a Surgical in Hemet, California. Linda Carol Broussard practices all healthcare services and medical treatments related to Surgical. The NPI Number for Linda Carol Broussard is 1679584445. The last update date is 2013-04-05.

Linda Carol Broussard's current location address is 1701 E Florida Ave, Hemet, California. You can contact this provider via phone number 9516584486 and fax number 9519251026. The mailing address for Linda Carol Broussard is 1701 E Florida Ave, Hemet, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Linda Carol Broussard
Address 1701 E Florida Ave, Hemet, California
Phone Number 9516584486
Fax Number 9519251026
Sole Proprietor Y
Credentials P.A.-C.

NPI Number Detail

NPI Number 1679584445
Provider Enumeration Date 2006-08-10
Last Updated Date 2013-04-05

Provider Mailing Address Detail

Address 1701 E Florida Ave
City Hemet
State California (CA)
Post Code 925444632
Phone Number 9516584486
Fax Number 9519251026

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA11346
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Linda Carol Broussard

What is the unique 10-digit identification code issued to Linda Carol Broussard by the Centers for Medicare & Medicaid Services?

The Linda Carol Broussard has been assigned the NPI (National Provider Identifier) 1679584445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Linda Carol Broussard is physically located?

The Linda Carol Broussard is situated at the following address: 1701 E Florida Ave, Hemet, CA 925444632.

What is Linda Carol Broussard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Linda Carol Broussard's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.

On what date did the Linda Carol Broussard receive its 1679584445 assignment from the Centers for Medicare & Medicaid Services?

The Linda Carol Broussard was assigned its 1679584445 by the Centers for Medicare & Medicaid Services on 2006-08-10.

When was the Linda Carol Broussard's information last updated?

The Linda Carol Broussard's information was last updated on 2013-04-05.

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