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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DEOGENES DE ASAS ENTERIA JR., PT

Active

MR. DEOGENES DE ASAS ENTERIA JR., PT is a Physical Therapy Assistant healthcare provider located in FORT LAUDERDAXLE, Florida. NPI 1669652863 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FORT LAUDERDAXLE, FL

Registration Details

NPI Number
1669652863
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2007 (18.771505511612 yrs)
Last Updated
Nov 6, 2007
License
PT018712 (PA)

Practice Information

Address
3201 W. COMMERCIAL BLVD.
SUITE 116
FORT LAUDERDAXLE, FL, 333093440
Browse FL providers · Browse ZIP 33309
Phone
9543324445
Fax
9543324340
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.