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Ms. Sophia Bourdeau, LPN
Developmental Disabilities Clinic/Center in Port St Lucie, Florida
NPI 1689104192

Sophia Bourdeau is a Developmental Disabilities Clinic/Center based in Port St Lucie, FL and is specialized in Developmental Disabilities. Sophia Bourdeau practices in Port St Lucie, FL and has the professional credentials of LPN. The NPI Number for Sophia Bourdeau is 1689104192 and holds a License No. (Florida).

The current practice location address for Sophia Bourdeau is 159 Sw South Danville Cir, Port St Lucie, FL and can be reached out via phone at 754-234-3487.

Location: 159 Sw South Danville Cir, Port St Lucie, FL, 34953-5929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689104192
Provider Name
Sophia Bourdeau
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
159 Sw South Danville Cir, Port St Lucie, FL, 34953-5929
Phone Number
754-234-3487
Fax Number
Provider Enumeration Date
06/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
159 Sw South Danville Cir
City
Port St Lucie
State
Florida
Zip
34953-5929
Phone Number
754-234-3487
Fax Number
person
Provider Business Mailing Address Details
Address
159 Sw South Danville Cir
City
Port St Lucie
State
Florida
Zip
34953-5929
Phone Number
754-234-3487
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Florida)
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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