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Tammera Black
Developmental Disabilities Clinic/Center in Orlando, Florida
NPI 1134695190

Tammera Black is a Developmental Disabilities Clinic/Center based in Orlando, FL and is specialized in Developmental Disabilities. Tammera Black practices in Orlando, FL. The NPI Number for Tammera Black is 1134695190 and holds a License No. (Florida).

The current practice location address for Tammera Black is 1969 Westpointe Cir, Orlando, FL and can be reached out via phone at 407-960-0192.

Location: 1969 Westpointe Cir, Orlando, FL, 32835-8183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134695190
Provider Name
Tammera Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
1969 Westpointe Cir, Orlando, FL, 32835-8183
Phone Number
407-960-0192
Fax Number
Provider Enumeration Date
10/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
832107134 05 FL
institution
Provider Business Practice Location Address Details
Address
1969 Westpointe Cir
City
Orlando
State
Florida
Zip
32835
Phone Number
407-960-0192
Fax Number
person
Provider Business Mailing Address Details
Address
1969 Westpointe Cir
City
Orlando
State
Florida
Zip
32835
Phone Number
407-960-0192
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
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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