Individual provider · Type 1 NPI

Gerard Thomas Doris Iii

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tampa, FL

NPI number 1508337676 Active

Practice location

3409 Nottingham Ct Apt 252
Tampa, FL 33614-4687

Call (813) 365-2494 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1508337676

Gerard Thomas Doris Iii's National Provider Identifier is 1508337676, issued on Dec 16, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Tampa, FL. The record was last updated on Dec 16, 2018.