| Broaddus Empowerment Llc | |
|
2101 E 142nd Ave Apt 102 Tampa FL 33613-3629 | |
| (215) 876-2802 | |
| Not Available |
| Full Name | Broaddus Empowerment Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2101 E 142nd Ave Apt 102, Tampa, Florida |
| Authorized Official Name and Position | Robbin Garrett (OWNER) |
| Authorized Official Contact | 8134750847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broaddus Empowerment Llc 2101 E 142nd Ave Apt 102 Tampa FL 33613-3629 Ph: (215) 876-2802 | Broaddus Empowerment Llc 2101 E 142nd Ave Apt 102 Tampa FL 33613-3629 Ph: (215) 876-2802 |
| NPI Number | 1023880978 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023880978 | NPI | - | NPPES |
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