Individual
JEAN RICOT MERISSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 N EUSTIS ST, EUSTIS, FL 32726-3408
(321) 276-5054
Mailing address
827 BUCCANEER BLVD, WINTER HAVEN, FL 33880-1960
(321) 663-1632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31533
FL
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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