| Orville A Broomfield, CRNFA | |
|
400 Health Park Blvd, St Augustine, FL 32086 | |
| (904) 824-4990 | |
| (904) 824-2226 |
| Full Name | Orville A Broomfield |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Registered Nurse First Assistant |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689853285 | NPI | - | NPPES |
| 312246800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WR0006X | Registered Nurse - Registered Nurse First Assistant | RN2729162 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Orville A Broomfield, CRNFA Po Box 3123, St Augustine, FL 32085-3123 Ph: (904) 824-4990 | Orville A Broomfield, CRNFA 400 Health Park Blvd, St Augustine, FL 32086 Ph: (904) 824-4990 |
Kristi M Lord, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 9190 August Cir, St Augustine, FL 32080 Phone: 352-650-3446 Fax: 904-341-5529 | |
Mr. Robert Edward Wazgar, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9 Althea St, St Augustine, FL 32084 Phone: 904-829-9105 | |
Amanda Szabados, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5472 5th St, St Augustine, FL 32080 Phone: 904-484-6788 | |
Wendy Lantz, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 | |
Karl Reyes, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1859 Enterprise Ave, St Augustine, FL 32092 Phone: 732-485-4207 | |
Mrs. Susan Michelle Ruday, MSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Deerfield Preserve Blvd, St Augustine, FL 32086 Phone: 904-829-0814 | |
Tammy Shallis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 231 Ocean Jasper Dr, St Augustine, FL 32086 Phone: 904-826-7007 |