Individual
BANICIO JUNIOR ADONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 HOOKS ST, CLERMONT, FL 34711-3551
(352) 717-7980
Mailing address
15540 KENSINGTON TRL, CLERMONT, FL 34711-8138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33836
FL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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