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Christian Jerrard Edmonds
Developmental Disabilities Clinic/Center in Seffner, Florida
NPI 1063167658

Christian Jerrard Edmonds is a Developmental Disabilities Clinic/Center based in Seffner, FL and is specialized in Developmental Disabilities. Christian Jerrard Edmonds practices in Seffner, FL. The NPI Number for Christian Jerrard Edmonds is 1063167658 and holds a License No. 112858700 (Florida).

The current practice location address for Christian Jerrard Edmonds is 11721 Mango Groves Blvd, Seffner, FL and can be reached out via phone at 813-500-8919.

Location: 11721 Mango Groves Blvd, Seffner, FL, 33584-6405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063167658
Provider Name
Christian Jerrard Edmonds
Credential
Provider Entity Type
Individual
Gender
Male
Address
11721 Mango Groves Blvd, Seffner, FL, 33584-6405
Phone Number
813-500-8919
Fax Number
Provider Enumeration Date
02/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11721 Mango Groves Blvd
City
Seffner
State
Florida
Zip
33584-6405
Phone Number
813-500-8919
Fax Number
person
Provider Business Mailing Address Details
Address
11721 Mango Groves Blvd
City
Seffner
State
Florida
Zip
33584-6405
Phone Number
813-500-8919
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
112858700 (Florida)
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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