| Beverly Broadnax, | |
|
2814 Edwards Ave S, Saint Petersburg, FL 33705-3653 | |
| (727) 642-6894 | |
| Not Available |
| Full Name | Beverly Broadnax |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2814 Edwards Ave S, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477969665 | NPI | - | NPPES |
| 141557300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN142291 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Broadnax, 2814 Edwards Ave S, Saint Petersburg, FL 33705-3653 Ph: (727) 642-6894 | Beverly Broadnax, 2814 Edwards Ave S, Saint Petersburg, FL 33705-3653 Ph: (727) 642-6894 |
Darin Locy, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10840 Poplar St Ne, Saint Petersburg, FL 33716 Phone: 330-701-7328 | |
Christopher Steven Jones, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1801 5th Ave N, Saint Petersburg, FL 33713 Phone: 727-823-7811 Fax: 727-823-7717 | |
Viengchai Kempienski, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2635 37th Ave N, Saint Petersburg, FL 33713 Phone: 727-528-0936 | |
Natasha Nixon, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4024 Central Ave, Saint Petersburg, FL 33711 Phone: 727-327-7656 Fax: 727-322-2142 | |
Mr. Randy Dale Woodard, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5971 Terrace Park Dr N, Unit 108, Saint Petersburg, FL 33709 Phone: 727-742-8172 | |
Mr. Shawn Edward Brooks, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5602 59th Way N, Saint Petersburg, FL 33709 Phone: 727-709-2055 | |
Heaven Ratleff, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11601 4th St N Apt 1605, Saint Petersburg, FL 33716 Phone: 330-274-7550 |