Brandi L. Broughton, PHYSICIAN ASSISTANT

NPI #1043406481 in Brooksville, Florida

Provider Information

NPI Number
1043406481
Entity Type
Individual
Name
Brandi L. Broughton, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Sep 19, 2007
Last Updated
Jan 16, 2019

Practice Location

Address
12900 CORTEZ BLVD STE 205
State
Florida
ZIP Code
34613-4898
Phone
(813) 321-1786

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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