IndividualActive
Christian Edmonds
NPI 1063167658 · Developmental Disabilities Clinic/Center · Seffner, FL
Provider details
- NPI number
- 1063167658
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 112858700 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11721 Mango Groves Blvd
Seffner, FL 33584-6405
Phone: (813) 500-8919
Approximate (ZIP-level) locationGet directions
Mailing address
11721 Mango Groves Blvd
Seffner, FL 33584-6405
Registry dates
- Enumerated
- 2022-02-13
- Last updated
- 2022-02-13
- Certified
- 2022-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.