Organization
SN EARLY INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY NELSON (SOLE MEMBER)
(813) 995-4033
Entity
Organization
Contact information
Practice address
8617 RIVER HOMES LN APT 201, BONITA SPRINGS, FL 34135-4343
(813) 995-4033
Mailing address
8617 RIVER HOMES LN APT 201, BONITA SPRINGS, FL 34135-4343
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/21/2024
Last updated
01/07/2025
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