Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JARVIN VINES
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · ORLANDO, FL
Registration Details
- NPI Number
- 1164950929
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2017 (8.9114517812089 yrs)
- Last Updated
- Jul 22, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
7215 JONQUIL DRORLANDO, FL, 328185808Browse FL providers · Browse ZIP 32818
- Phone
- 4073051925
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Physical Disabilities Residential Treatment Facility
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
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.