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Gislaine Etienne
Developmental Disabilities Clinic/Center in Brandon, Florida
NPI 1063050920

Gislaine Etienne is a Developmental Disabilities Clinic/Center based in Brandon, FL and is specialized in Developmental Disabilities. Gislaine Etienne practices in Brandon, FL. The NPI Number for Gislaine Etienne is 1063050920 and holds a License No. (Florida).

The current practice location address for Gislaine Etienne is 802 Greenbriar Dr, Brandon, FL and can be reached out via phone at 813-545-4873.

Location: 802 Greenbriar Dr, Brandon, FL, 33511-7714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063050920
Provider Name
Gislaine Etienne
Credential
Provider Entity Type
Individual
Gender
Female
Address
802 Greenbriar Dr, Brandon, FL, 33511-7714
Phone Number
813-545-4873
Fax Number
Provider Enumeration Date
12/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
802 Greenbriar Dr
City
Brandon
State
Florida
Zip
33511-7714
Phone Number
813-545-4873
Fax Number
person
Provider Business Mailing Address Details
Address
802 Greenbriar Dr
City
Brandon
State
Florida
Zip
33511-7714
Phone Number
813-545-4873
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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