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Jessica Sullivan
Developmental Disabilities Clinic/Center in Tampa, Florida
NPI 1891421186

Jessica Sullivan is a Developmental Disabilities Clinic/Center based in Tampa, FL and is specialized in Developmental Disabilities. Jessica Sullivan practices in Tampa, FL. The NPI Number for Jessica Sullivan is 1891421186 and holds a License No. (Florida).

The current practice location address for Jessica Sullivan is 4813 Bristol Bay Way Apt 302, Tampa, FL and can be reached out via phone at 813-562-8475.

Location: 4813 Bristol Bay Way Apt 302, Tampa, FL, 33619-3662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891421186
Provider Name
Jessica Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
4813 Bristol Bay Way Apt 302, Tampa, FL, 33619-3662
Phone Number
813-562-8475
Fax Number
Provider Enumeration Date
07/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4813 Bristol Bay Way Apt 302
City
Tampa
State
Florida
Zip
33619-3662
Phone Number
813-562-8475
Fax Number
person
Provider Business Mailing Address Details
Address
4813 Bristol Bay Way Apt 302
City
Tampa
State
Florida
Zip
33619-3662
Phone Number
813-562-8475
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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