Individual
MR. JEFFREY D ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1337 SW 26TH AVE, DEERFIELD BEACH, FL 33442-5930
(954) 465-0713
Mailing address
1337 SW 26TH AVE, DEERFIELD BEACH, FL 33442-5930
(954) 465-0713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19549
FL
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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