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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHNTAVIA K HICKMAN

Active Sole Proprietor

JOHNTAVIA K HICKMAN is a Developmental Disabilities Clinic healthcare provider located in SPRING HILL, Florida. NPI 1184384984 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · SPRING HILL, FL

Registration Details

NPI Number
1184384984
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2021 (4.6737184588484 yrs)
Last Updated
Dec 21, 2021
Sole Proprietor
Yes

Practice Information

Address
10471 THORNBERRY DR
SPRING HILL, FL, 346082829
Browse FL providers · Browse ZIP 34608
Phone
4149306176
Primary Specialty
Developmental Disabilities Clinic
261QD1600X

Other Developmental Disabilities Clinic Providers in SPRING HILL, FL

Name Credential NPI
HENRY CORNEILLIE 1225538531
JEAROLD JEROME HILL 1275154445
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.