MEDICARE: GEAVANYA BROOMFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	SI2508	FL
2	103K00000X	Behavior Analyst	1-21-56511	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	SI2508	OTHER	FL	SI2508

General Provider Information

NPI Number	:	1548716376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEAVANYA BROOMFIELD

Provider Business Mailing Address
First Line	:	4667 GARDENS PARK BLVD APT 1204
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-2424
Country	:	US
Telephone Number	:	407-455-2105
Fax Number	:

Provider Business Practice Location Address
First Line	:	5798 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4819
Country	:	US
Telephone Number	:	407-455-2105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	12/14/2023

Similar Medicare Providers

1205799921 — LEZZIETH JULIETH TAPIA
Practice Location Address:

5798 S SEMORAN BLVD BLDG F
ORLANDO, FL
32822-4819

Practice Phone: 888-754-0398
Practice Fax:

1508255456 — MADELYN UPTHEGROVE BCBA
Practice Location Address:

5798 S SEMORAN BLVD
ORLANDO, FL
32822-4819

Practice Phone: 888-754-0398
Practice Fax: 954-982-6491

1851742936 — HAYLEY MARIE BIERSACK BCBA
Practice Location Address:

5798 S SEMORAN BLVD
ORLANDO, FL
32822-4819

Practice Phone: 888-754-0398
Practice Fax: 954-866-5513

1720539430 — HALI ROSE ANDERSON MA, BCBA
Practice Location Address:

5798 S SEMORAN BLVD BLDG F
ORLANDO, FL
32822-4819

Practice Phone: 888-754-0398
Practice Fax:

1013468438 — TOTAL RENAL CARE INC
Practice Location Address:

5778 S SEMORAN BLVD , STE A
ORLANDO, FL
32822-4819

Practice Phone: 407-282-3835
Practice Fax: 407-282-9520

1689126757 — SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC
Practice Location Address:

5778 S SEMORAN BLVD STE A
ORLANDO, FL
32822-4819

Practice Phone: 407-282-3835
Practice Fax: 407-282-9520

Directions to “ GEAVANYA BROOMFIELD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.