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NPI 1063938454 · Developmental Disabilities Clinic/Center · Fort Pierce, FL
Provider details
- NPI number
- 1063938454
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anithra Minus, Ceo(772) 925-9435
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5203 La Salle St Apt a
Fort Pierce, FL 34951-5029
Phone: (772) 925-9435
Street-level locationGet directions
Mailing address
5203 La Salle St Apt a
Fort Pierce, FL 34951-5029
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2017-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.