Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johntavia K Hickman

Individual provider Developmental Disabilities Clinic/Center · NPI 1184384984

Johntavia K Hickman is a Developmental Disabilities Clinic/Center in Spring Hill, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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Practice location Address checks out

10471 Thornberry Dr
Spring Hill, FL 34608-2829
Phone: (414) 930-6176
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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 (FL)

Record details

NPI number1184384984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

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