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CLIFFORD JEFFERSON DOMINIQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1151 ENCOURTE GRN, APOPKA, FL 32712-2103
(772) 828-7303
Mailing address
1151 ENCOURTE GRN, APOPKA, FL 32712-2103
(772) 828-7303

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
D552110020560
FL

Other

Enumeration date
03/24/2025
Last updated
03/24/2025
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