CHRISTIAN JERRARD EDMONDS
NPI 1063167658
Clinic/Center - Developmental Disabilities in Seffner, FL

Q: What is Christian Edmonds's NPI number?

The NPI number for Christian Edmonds is 1063167658. It was assigned to this individual provider in the NPPES registry on February 13, 2022.

Q: What is Christian Edmonds's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Christian Edmonds was last updated on February 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 13, 2022

11721 MANGO GROVES BLVD, SEFFNER, FL 33584(813) 500-8919 Get Directions Write a Review

NPPES record last updated: February 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Christian Jerrard Edmonds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN JERRARD EDMONDS (NPI 1063167658) is an individual developmental disabilities provider in Seffner, Florida, licensed in Florida (112858700) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1063167658

Entity TypeIndividualMale

Primary Taxonomy261QD1600X

Provider Legal NameCHRISTIAN JERRARD EDMONDS

Location Address11721 MANGO GROVES BLVDSeffner, FL 33584-6405

Mailing Address11721 Mango Groves BlvdSeffner, FL 33584-6405 · (813) 500-8919

Phone(813) 500-8919

Sole ProprietorYes

Enumeration DateFebruary 13, 2022

NPPES CertifiedFebruary 13, 2022

✔ NPI 1063167658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in FL · 112858700

Definition

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.).

11721 MANGO GROVES BLVD, Seffner, FL 33584

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Edmonds's NPI number?

The NPI number for Christian Edmonds is 1063167658. It was assigned to this individual provider in the NPPES registry on February 13, 2022.

Where is Christian Edmonds located?

Christian Edmonds practices at 11721 Mango Groves Blvd, Seffner, FL 33584. The listed phone number is (813) 500-8919.

What is Christian Edmonds's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Christian Edmonds was last updated on February 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.