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Nicolas Etienne
Developmental Disabilities Clinic/Center in Brandon, Florida
NPI 1386287654

Nicolas Etienne is a Developmental Disabilities Clinic/Center based in Brandon, FL and is specialized in Developmental Disabilities. Nicolas Etienne practices in Brandon, FL. The NPI Number for Nicolas Etienne is 1386287654 and holds a License No. (Florida).

The current practice location address for Nicolas Etienne is 3511 S Kings Ave, Brandon, FL and can be reached out via phone at 609-284-6272.

Location: 3511 S Kings Ave, Brandon, FL, 33511-7719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386287654
Provider Name
Nicolas Etienne
Credential
Provider Entity Type
Individual
Gender
Male
Address
3511 S Kings Ave, Brandon, FL, 33511-7719
Phone Number
609-284-6272
Fax Number
Provider Enumeration Date
10/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3511 S Kings Ave
City
Brandon
State
Florida
Zip
33511-7719
Phone Number
609-284-6272
Fax Number
person
Provider Business Mailing Address Details
Address
3511 S Kings Ave
City
Brandon
State
Florida
Zip
33511-7719
Phone Number
609-284-6272
Fax Number
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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