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Contact Information

ORVILLE A BROOMFIELD, CRNFA
400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL32086
 Phone: 904-824-4990
 Fax: 904-824-2226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for ORVILLE A BROOMFIELD · (Male)

NPI Number 1689853285
Status Active
Credentials CRNFA
Entity Individual
Enumeration date 10/31/2007
Last updated 08/05/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RN2729162
  • FL Medicaid 312246800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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