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Delania Tyevette Wilson
Developmental Disabilities Clinic/Center in Mount Dora, Florida
NPI 1356096770

Delania Tyevette Wilson is a Developmental Disabilities Clinic/Center based in Mount Dora, FL and is specialized in Developmental Disabilities. Delania Tyevette Wilson practices in Mount Dora, FL. The NPI Number for Delania Tyevette Wilson is 1356096770 and holds a License No. (Florida).

The current practice location address for Delania Tyevette Wilson is 2270 Pine Ave, Mount Dora, FL and can be reached out via phone at 352-396-7727.

Location: 2270 Pine Ave, Mount Dora, FL, 32757-6407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356096770
Provider Name
Delania Tyevette Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2270 Pine Ave, Mount Dora, FL, 32757-6407
Phone Number
352-396-7727
Fax Number
Provider Enumeration Date
02/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104575900 05 FL
institution
Provider Business Practice Location Address Details
Address
2270 Pine Ave
City
Mount Dora
State
Florida
Zip
32757-6407
Phone Number
352-396-7727
Fax Number
person
Provider Business Mailing Address Details
Address
2270 Pine Ave
City
Mount Dora
State
Florida
Zip
32757-6407
Phone Number
352-396-7727
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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