Individual provider · Type 1 NPI
Marquisa Denise Gillard
Developmental Disabilities Clinic/Center · Fruitland Park, FL
Practice location
217 E Mirror Lake Dr Apt A
Fruitland Park, FL 34731-3274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| 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.).
About NPI 1700440666
Marquisa Denise Gillard's National Provider Identifier is 1700440666, issued on Apr 25, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Fruitland Park, FL. The record was last updated on Apr 25, 2019.