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Brian Tatum
Developmental Disabilities Clinic/Center in Port St Lucie, Florida
NPI 1669984167

Brian Tatum is a Developmental Disabilities Clinic/Center based in Port Saint Lucie, FL and is specialized in Developmental Disabilities. Brian Tatum practices in Port St Lucie, FL. The NPI Number for Brian Tatum is 1669984167 and holds a License No. (Florida).

The current practice location address for Brian Tatum is 6905 Heritage Dr, Port St Lucie, FL and can be reached out via phone at 772-370-5547.

Location: 6905 Heritage Dr, Port St Lucie, FL, 34953-3189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669984167
Provider Name
Brian Tatum
Credential
Provider Entity Type
Individual
Gender
Male
Address
6905 Heritage Dr, Port St Lucie, FL, 34953-3189
Phone Number
772-370-5547
Fax Number
Provider Enumeration Date
10/25/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6905 Heritage Dr
City
Port St Lucie
State
Florida
Zip
34952-8227
Phone Number
772-370-5547
Fax Number
person
Provider Business Mailing Address Details
Address
6905 Heritage Dr
City
Port St Lucie
State
Florida
Zip
34952-8227
Phone Number
772-370-5547
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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