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Individual

MR. DONVILLE LUDLO JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6931 W SUNRISE BLVD, PLANTATION, FL 33313-4406
(954) 583-6200
Mailing address
2420 NW 110TH TER, SUNRISE, FL 33322-2549
(954) 554-3844

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16214
FL

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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