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Marquisa Denise Gillard
Developmental Disabilities Clinic/Center in Fruitland Park, Florida
NPI 1700440666

Marquisa Denise Gillard is a Developmental Disabilities Clinic/Center based in Fruitland Park, FL and is specialized in Developmental Disabilities. Marquisa Denise Gillard practices in Fruitland Park, FL. The NPI Number for Marquisa Denise Gillard is 1700440666 and holds a License No. (Florida).

The current practice location address for Marquisa Denise Gillard is 217 E Mirror Lake Dr Apt A, Fruitland Park, FL and can be reached out via phone at 352-504-9261.

Location: 217 E Mirror Lake Dr Apt A, Fruitland Park, FL, 34731-3274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700440666
Provider Name
Marquisa Denise Gillard
Credential
Provider Entity Type
Individual
Gender
Female
Address
217 E Mirror Lake Dr Apt A, Fruitland Park, FL, 34731-3274
Phone Number
352-504-9261
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
217 E Mirror Lake Dr Apt A
City
Fruitland Park
State
Florida
Zip
34731-3274
Phone Number
352-504-9261
Fax Number
person
Provider Business Mailing Address Details
Address
217 E Mirror Lake Dr Apt A
City
Fruitland Park
State
Florida
Zip
34731-3274
Phone Number
352-504-9261
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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