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Gwendolyn Mcleod
Developmental Disabilities Clinic/Center in Fort Pierce, Florida
NPI 1225481260

Gwendolyn Mcleod is a Developmental Disabilities Clinic/Center based in Fort Pierce, FL and is specialized in Developmental Disabilities. Gwendolyn Mcleod practices in Fort Pierce, FL. The NPI Number for Gwendolyn Mcleod is 1225481260 and holds a License No. (Florida).

The current practice location address for Gwendolyn Mcleod is 3015 W Dixie Blvd, Fort Pierce, FL and can be reached out via phone at 772-940-1632.

Location: 3015 W Dixie Blvd, Fort Pierce, FL, 34948-3852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225481260
Provider Name
Gwendolyn Mcleod
Credential
Provider Entity Type
Organization
Address
3015 W Dixie Blvd, Fort Pierce, FL, 34948-3852
Phone Number
772-940-1632
Fax Number
Provider Enumeration Date
07/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EAHCA013Z 05 FL
institution
Provider Business Practice Location Address Details
Address
3015 W Dixie Blvd
City
Fort Pierce
State
Florida
Zip
34946-1708
Phone Number
772-940-1632
Fax Number
person
Provider Business Mailing Address Details
Address
3015 W Dixie Blvd
City
Fort Pierce
State
Florida
Zip
34946-1708
Phone Number
772-940-1632
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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