Individual provider · Type 1 NPI

Antoniesha Austin

Developmental Disabilities Clinic/Center · Jacksonville, FL

NPI number 1003346115 Active

Practice location

8805 Norfolk Blvd
Jacksonville, FL 32208-1917

Call (904) 343-2218 Map

Mailing address

PO Box 66054
Jacksonville, FL 32208-6054

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: 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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About NPI 1003346115

Antoniesha Austin's National Provider Identifier is 1003346115, issued on Jun 13, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 13, 2017.