Angela Broadnax

NPI #1457089682 in Macclenny, Florida

Provider Information

NPI Number: 1457089682
Entity Type: Individual
Name: Angela Broadnax
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 15, 2022
Last Updated: Aug 15, 2022

Practice Location

Address: 505 MATECUMBE CT
City: Macclenny
State: Florida
ZIP Code: 32063-8832
Phone: (904) 327-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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