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Miguel Marquez
Developmental Disabilities Clinic/Center in Davenport, Florida
NPI 1316505522

Miguel Marquez is a Developmental Disabilities Clinic/Center based in Davenport, FL and is specialized in Developmental Disabilities. Miguel Marquez practices in Davenport, FL. The NPI Number for Miguel Marquez is 1316505522 and holds a License No. (Florida).

The current practice location address for Miguel Marquez is 619 Rollins Dr, Davenport, FL and can be reached out via phone at 863-438-6331.

Location: 619 Rollins Dr, Davenport, FL, 33837-7218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316505522
Provider Name
Miguel Marquez
Credential
Provider Entity Type
Individual
Gender
Male
Address
619 Rollins Dr, Davenport, FL, 33837-7218
Phone Number
863-438-6331
Fax Number
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
832645525 05 FL
institution
Provider Business Practice Location Address Details
Address
619 Rollins Dr
City
Davenport
State
Florida
Zip
33837-7218
Phone Number
863-438-6331
Fax Number
person
Provider Business Mailing Address Details
Address
619 Rollins Dr
City
Davenport
State
Florida
Zip
33837-7218
Phone Number
863-438-6331
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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