MARTISIA BUNTON NPI 1881106276

NPI Information

Martisia Bunton is a developmental disabilities clinic center in Tampa, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Martisia Bunton NPI is 1881106276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3707 E HANNA AVE
TAMPA, FL
ZIP 33610-756
Phone: (813) 858-5732

The enumeration date for this NPI number is 10/25/2017 and was last updated on 10/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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