Individual
JEAN CIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4197 EDENROCK PL, SPRING HILL, FL 34609-0620
(727) 254-0659
Mailing address
4197 EDENROCK PL, SPRING HILL, FL 34609-0620
(727) 254-0659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28530
FL
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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