Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTIAN JERRARD EDMONDS
Active Sole ProprietorCHRISTIAN JERRARD EDMONDS is a Developmental Disabilities Clinic healthcare provider located in SEFFNER, Florida. NPI 1063167658 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · SEFFNER, FL
Registration Details
- NPI Number
- 1063167658
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2022 (4.5259816930505 yrs)
- Last Updated
- Feb 13, 2022
- License
-
112858700 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11721 MANGO GROVES BLVDSEFFNER, FL, 335846405Browse FL providers · Browse ZIP 33584
- Phone
- 8135008919
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in SEFFNER, FL
| Name | Credential | NPI |
|---|---|---|
| PATRICIA R PHILBERT | — | 1508395997 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.