Individual
MAURICIO LONGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4800 NE 20TH TER STE 303, FORT LAUDERDALE, FL 33308-4510
(954) 771-8177
Mailing address
PO BOX 162743, ALTAMONTE SPRINGS, FL 32716-2743
(954) 580-4084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30024
FL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
11/11/2020
Last updated
08/16/2022
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