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Kethlie Fabien Charles
Developmental Disabilities Clinic/Center in Greenacres, Florida
NPI 1265018865

Kethlie Fabien Charles is a Developmental Disabilities Clinic/Center based in Greenacres, FL and is specialized in Developmental Disabilities. Kethlie Fabien Charles practices in Greenacres, FL. The NPI Number for Kethlie Fabien Charles is 1265018865 and holds a License No. (Florida).

The current practice location address for Kethlie Fabien Charles is 5700 Lake Worth Rd Ste 106, Greenacres, FL and can be reached out via phone at 561-439-3991 and via fax at 561-439-3993.

Location: 5700 Lake Worth Rd Ste 106, Greenacres, FL, 33463-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265018865
Provider Name
Kethlie Fabien Charles
Credential
Provider Entity Type
Individual
Gender
Female
Address
5700 Lake Worth Rd Ste 106, Greenacres, FL, 33463-3213
Phone Number
561-439-3991
Fax Number
561-439-3993
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5700 Lake Worth Rd Ste 106
City
Greenacres
State
Florida
Zip
33463-3213
Phone Number
561-439-3991
Fax Number
561-439-3993
person
Provider Business Mailing Address Details
Address
5700 Lake Worth Rd Ste 106
City
Greenacres
State
Florida
Zip
33463-3213
Phone Number
561-439-3991
Fax Number
561-439-3993
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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