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Shirley Temple
Developmental Disabilities Clinic/Center in Brandon, Florida
NPI 1245872092

Shirley Temple is a Developmental Disabilities Clinic/Center based in Brandon, FL and is specialized in Developmental Disabilities. Shirley Temple practices in Brandon, FL. The NPI Number for Shirley Temple is 1245872092 and holds a License No. (Florida).

The current practice location address for Shirley Temple is 1505 Spitz Ct, Brandon, FL and can be reached out via phone at 813-952-6865 and via fax at 888-870-9630.

Location: 1505 Spitz Ct, Brandon, FL, 33511-4816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245872092
Provider Name
Shirley Temple
Credential
Provider Entity Type
Individual
Gender
Female
Address
1505 Spitz Ct, Brandon, FL, 33511-4816
Phone Number
813-952-6865
Fax Number
888-870-9630
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1505 Spitz Ct
City
Brandon
State
Florida
Zip
33511-4816
Phone Number
813-952-6865
Fax Number
888-870-9630
person
Provider Business Mailing Address Details
Address
1505 Spitz Ct
City
Brandon
State
Florida
Zip
33511-4816
Phone Number
813-952-6865
Fax Number
888-870-9630
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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