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Individual

CLIFTON MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
956 INTERNATIONAL PKWY STE 1580, LAKE MARY, FL 32746-5219
(407) 936-0314
Mailing address
956 INTERNATIONAL PKWY STE 1580, LAKE MARY, FL 32746-5219
(407) 936-0314
(407) 936-0316

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22747
FL

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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