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

NICOLAS ETIENNE

Active Sole Proprietor

NICOLAS ETIENNE is a Developmental Disabilities Clinic healthcare provider located in BRANDON, Florida. NPI 1386287654 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · BRANDON, FL

Registration Details

NPI Number
1386287654
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2019 (6.8459956372096 yrs)
Last Updated
Oct 19, 2019
Sole Proprietor
Yes

Practice Information

Address
3511 S KINGS AVE
BRANDON, FL, 335117719
Browse FL providers · Browse ZIP 33511
Phone
6092846272
Primary Specialty
Developmental Disabilities Clinic
261QD1600X

Other Developmental Disabilities Clinic Providers in BRANDON, FL

Name Credential NPI
CAROL J JOSEPHS RN 1114409091
SHIRLEY TEMPLE 1245872092
GISLAINE ETIENNE 1063050920
YOVONDA MOORE 1821886748
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.