Individual provider · Type 1 NPI
Guibriel Sample
Developmental Disabilities Clinic/Center · Jacksonville, FL
Practice location
3100 Sunset Landing Dr
Jacksonville, FL 32226-4446
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 1740725209
Guibriel Sample's National Provider Identifier is 1740725209, issued on Dec 19, 2016. 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 Dec 19, 2016.