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Gerard Thomas Doris III
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tampa, Florida
NPI 1508337676

Gerard Thomas Doris III is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Tampa, FL. Gerard Thomas Doris III practices in Tampa, FL. The NPI Number for Gerard Thomas Doris III is 1508337676 and holds a License No. (Florida).

The current practice location address for Gerard Thomas Doris III is 3409 Nottingham Ct Apt 252, Tampa, FL and can be reached out via phone at 813-365-2494.

Location: 3409 Nottingham Ct Apt 252, Tampa, FL, 33614-4687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508337676
Provider Name
Gerard Thomas Doris III
Credential
Provider Entity Type
Individual
Gender
Male
Address
3409 Nottingham Ct Apt 252, Tampa, FL, 33614-4687
Phone Number
813-365-2494
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83-2319791 05 FL
institution
Provider Business Practice Location Address Details
Address
3409 Nottingham Ct Apt 252
City
Tampa
State
Florida
Zip
33614-4687
Phone Number
813-365-2494
Fax Number
person
Provider Business Mailing Address Details
Address
3409 Nottingham Ct Apt 252
City
Tampa
State
Florida
Zip
33614-4687
Phone Number
813-365-2494
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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