Individual provider · Type 1 NPI
Nicolas Etienne
Developmental Disabilities Clinic/Center · Brandon, FL
Practice location
3511 S Kings Ave
Brandon, FL 33511-7719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None 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 1386287654
Nicolas Etienne's National Provider Identifier is 1386287654, issued on Oct 19, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Brandon, FL. The record was last updated on Oct 19, 2019.