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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. You can also correspond with Gerard Thomas Doris III through the mailing address at 3409 NOTTINGHAM CT APT 252, TAMPA, FL - 33614-4687 (mailing address contact number: 813-365-2494).

Location: 3409 Nottingham Ct Apt 252, Tampa, FL, 33614-4687
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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
State
Zip
33614-4687
Phone Number
813-365-2494
Fax Number
person
Provider Business Mailing Address Details
Address
3409 Nottingham Ct Apt 252
City
State
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
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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