CLIFFORD JEFFERSON DOMINIQUE

APOPKA, FL
NPI1790586873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  D552110020560)
Enumeration Date2025-03-24
Last Update Date2025-03-24
Business Address
CLIFFORD JEFFERSON DOMINIQUE PTA
1151 ENCOURTE GRN
APOPKA, FL 32712-2103
Phone number: 772-828-7303
Mailing Address
CLIFFORD JEFFERSON DOMINIQUE PTA
1151 ENCOURTE GRN
APOPKA, FL 32712-2103
Phone number: 772-828-7303
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