Individual
CLARKE AVELLANOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5215 N CARNATION DR, BEVERLY HILLS, FL 34465-2942
(352) 422-7638
Mailing address
5215 N CARNATION DR, BEVERLY HILLS, FL 34465-2942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30702
FL
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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