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Martisia Bunton
Developmental Disabilities Clinic/Center in Tampa, Florida
NPI 1881106276

Martisia Bunton is a Developmental Disabilities Clinic/Center based in Tampa, FL and is specialized in Developmental Disabilities. Martisia Bunton practices in Tampa, FL. The NPI Number for Martisia Bunton is 1881106276 and holds a License No. (Florida).

The current practice location address for Martisia Bunton is 3707 E Hanna Ave, Tampa, FL and can be reached out via phone at 813-858-5732.

Location: 3707 E Hanna Ave, Tampa, FL, 33610-3756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881106276
Provider Name
Martisia Bunton
Credential
Provider Entity Type
Individual
Gender
Female
Address
3707 E Hanna Ave, Tampa, FL, 33610-3756
Phone Number
813-858-5732
Fax Number
Provider Enumeration Date
10/25/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
689419 05 FL
institution
Provider Business Practice Location Address Details
Address
3707 E Hanna Ave
City
Tampa
State
Florida
Zip
33610-3756
Phone Number
813-858-5732
Fax Number
person
Provider Business Mailing Address Details
Address
3707 E Hanna Ave
City
Tampa
State
Florida
Zip
33610-3756
Phone Number
813-858-5732
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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