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Individual

MR. ARIEL JAMAL BRODUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
365 CITRUS TOWER BLVD, CLERMONT, FL 34711-6532
(321) 276-5054
Mailing address
202 RIDGECREST LOOP APT B, MINNEOLA, FL 34715-5553
(352) 255-1801

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18963
FL

Other

Enumeration date
08/09/2022
Last updated
08/09/2022
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