NICOLAS ETIENNE
NPI 1386287654
Clinic/Center - Developmental Disabilities in Brandon, FL

Active since October 19, 2019
3511 S KINGS AVE, BRANDON, FL 33511(609) 284-6272 Get Directions Write a Review

NPPES record last updated: October 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicolas Etienne NPPES

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

NICOLAS ETIENNE (NPI 1386287654) is an individual developmental disabilities provider in Brandon, Florida and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1386287654
Entity TypeIndividualMale
Primary Taxonomy261QD1600X
Provider Legal NameNICOLAS ETIENNE
Location Address3511 S KINGS AVEBrandon, FL 33511-7719
Mailing Address3511 S Kings AveBrandon, FL 33511-7719 · (609) 284-6272
Sole ProprietorYes
Enumeration DateOctober 19, 2019
NPI 1386287654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
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.).

3511 S KINGS AVE, Brandon, FL 33511

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 Nicolas Etienne's NPI number?

The NPI number for Nicolas Etienne is 1386287654. It was assigned to this individual provider in the NPPES registry on October 19, 2019.

Where is Nicolas Etienne located?

Nicolas Etienne practices at 3511 S Kings Ave, Brandon, FL 33511. The listed phone number is (609) 284-6272.

What is Nicolas Etienne'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 Nicolas Etienne was last updated on October 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.