1609978006 NPI number — MS. MONIQUE BROZYNA LMSW

Table of content: MS. MONIQUE BROZYNA LMSW (NPI 1609978006)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609978006 NPI number — MS. MONIQUE BROZYNA LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROZYNA
Provider First Name:
MONIQUE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609978006
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4221 W SPRUCE ST
Provider Second Line Business Mailing Address:
2406
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33607-4174
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-879-5452
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10,000 BAY PINES BLVD.
Provider Second Line Business Practice Location Address:
122
Provider Business Practice Location Address City Name:
ST.PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-398-6661
Provider Business Practice Location Address Fax Number:
727-319-1330
Provider Enumeration Date:
09/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801081416 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)