Individual
MR. ALCIDES LIZARDI MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
5576 W SAMPLE RD, MARGATE, FL 33073-3423
(954) 586-2273
Mailing address
5576 W SAMPLE RD, MARGATE, FL 33073-3423
(954) 586-2273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19258
FL
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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