Brian Tatum
Brian Tatum is a Developmental Disabilities Clinic/Center in Port St Lucie, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
6905 Heritage DrPort St Lucie, FL 34952-8227
Phone: (772) 370-5547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1669984167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2017 |
| Last updated in NPPES | October 25, 2017 |
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