Provider Demographics
NPI:1184057127
Name:BROXTON, BRIDGITTE MCINTOSH (APRN-C)
Entity type:Individual
Prefix:MS
First Name:BRIDGITTE
Middle Name:MCINTOSH
Last Name:BROXTON
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:BRIDGITTE
Other - Middle Name:XIOCAMARA
Other - Last Name:BROXTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:525 OKEECHOBEE BLVD CITY PLACE TOWER
Mailing Address - Street 2:14TH FLOOR
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401
Mailing Address - Country:US
Mailing Address - Phone:561-804-0200
Mailing Address - Fax:561-804-0222
Practice Address - Street 1:525 OKEECHOBEE BLVD CITY PLACE TOWER
Practice Address - Street 2:14TH FLOOR
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-804-0200
Practice Address - Fax:561-804-0222
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2049272363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner