MEDICARE: MRS. ARAMI L BROUSSARD

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1437612983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARAMI L BROUSSARD

Provider Business Mailing Address
First Line	:	3916 E SHORE RD
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-4960
Country	:	US
Telephone Number	:	305-766-3765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 S POWERLINE RD STE 25
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4342
Country	:	US
Telephone Number	:	954-316-1200
Fax Number	:

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

Provider Enumeration Date	:	04/11/2019
Last Update Date	:	04/11/2019

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