Individual
DEMOND ANTONIO ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9929 PINES BLVD, PEMBOKE PINES, FL 33024
(954) 437-8099
Mailing address
9929 PINES BLVD, PEMBROKE PINES, FL 33024-6175
(954) 437-8099
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20020
FL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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