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Ericka Nicole Lewis
Developmental Disabilities Clinic/Center in Ruskin, Florida
NPI 1740901776

Ericka Nicole Lewis is a Developmental Disabilities Clinic/Center based in Ruskin, FL and is specialized in Developmental Disabilities. Ericka Nicole Lewis practices in Ruskin, FL. The NPI Number for Ericka Nicole Lewis is 1740901776 and holds a License No. 236831 (Florida).

The current practice location address for Ericka Nicole Lewis is 812 16Th Ave Se, Ruskin, FL and can be reached out via phone at 813-476-8343. You can also correspond with Ericka Nicole Lewis through the mailing address at 812 16TH AVE SE, RUSKIN, FL - 33570-6013 (mailing address contact number: 813-476-8343).

Location: 812 16Th Ave Se, Ruskin, FL, 33570-6013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740901776
Provider Name
Ericka Nicole Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
812 16Th Ave Se, Ruskin, FL, 33570-6013
Phone Number
813-476-8343
Fax Number
Provider Enumeration Date
09/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
833874018 05 FL
institution
Provider Business Practice Location Address Details
Address
812 16Th Ave Se
City
Ruskin
State
Florida
Zip
33570-6013
Phone Number
813-476-8343
Fax Number
person
Provider Business Mailing Address Details
Address
812 16Th Ave Se
City
Ruskin
State
Florida
Zip
33570-6013
Phone Number
813-476-8343
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
236831 (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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