GERARD THOMAS DORIS

TAMPA, FL
NPI1508337676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
GERARD THOMAS DORIS
3409 NOTTINGHAM CT APT 252
TAMPA, FL 33614-4687
Phone number: 813-365-2494
Mailing Address
GERARD THOMAS DORIS
3409 NOTTINGHAM CT APT 252
TAMPA, FL 33614-4687
Phone number: 813-365-2494