MR. TIJAY BROADNAX APD PROVIDER
NPI 1235864000
Clinic/Center - Developmental Disabilities in Plant City, FL

Active since July 18, 2022
1514 S ALEXANDER ST STE 202, PLANT CITY, FL 33563(813) 652-8119 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tijay Broadnax Apd Provider NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIJAY BROADNAX APD PROVIDER (NPI 1235864000) is an individual developmental disabilities provider in Plant City, Florida and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1235864000
Entity TypeIndividualMale
Primary Taxonomy261QD1600X
Provider Legal NameMR. TIJAY BROADNAXCredential: APD PROVIDER
Location Address1514 S ALEXANDER ST STE 202Plant City, FL 33563-8418
Mailing Address1514 S Alexander St Ste 202Plant City, FL 33563-8418 · (813) 652-8119
Sole ProprietorYes
Enumeration DateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
NPI 1235864000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
1514 S ALEXANDER ST STE 202, Plant City, FL 33563

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
1514 S ALEXANDER ST STE 202
PLANT CITY, FL 33563
Clinic/Center (Rehabilitation, Substance Use Disorder)
1514 S ALEXANDER ST STE 202
PLANT CITY, FL 33563
Home Health Aide
1514 S ALEXANDER ST STE 202
PLANT CITY, FL 33563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tijay Broadnax's NPI number?

The NPI number for Tijay Broadnax is 1235864000. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Tijay Broadnax located?

Tijay Broadnax practices at 1514 S Alexander St Ste 202, Plant City, FL 33563. The listed phone number is (813) 652-8119.

What is Tijay Broadnax's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Tijay Broadnax was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.