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Johntavia K Hickman
Developmental Disabilities Clinic/Center in Spring Hill, Florida
NPI 1184384984

Johntavia K Hickman is a Developmental Disabilities Clinic/Center based in Wesley Chapel, FL and is specialized in Developmental Disabilities. Johntavia K Hickman practices in Spring Hill, FL. The NPI Number for Johntavia K Hickman is 1184384984 and holds a License No. (Florida).

The current practice location address for Johntavia K Hickman is 10471 Thornberry Dr, Spring Hill, FL and can be reached out via phone at 414-930-6176.

Location: 10471 Thornberry Dr, Spring Hill, FL, 33543-8101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184384984
Provider Name
Johntavia K Hickman
Credential
Provider Entity Type
Individual
Gender
Female
Address
10471 Thornberry Dr, Spring Hill, FL, 33543-8101
Phone Number
414-930-6176
Fax Number
Provider Enumeration Date
12/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
862745324 05 FL
institution
Provider Business Practice Location Address Details
Address
10471 Thornberry Dr
City
Spring Hill
State
Florida
Zip
34608-2829
Phone Number
414-930-6176
Fax Number
person
Provider Business Mailing Address Details
Address
10471 Thornberry Dr
City
Spring Hill
State
Florida
Zip
34608-2829
Phone Number
414-930-6176
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(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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