Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAURICIO ELIZONDO, PT, DPT, ATC, CSCS
Active Sole ProprietorMAURICIO ELIZONDO, PT, DPT, ATC, CSCS is a Environmental Modification (OT) healthcare provider located in PONTE VEDRA BEACH, Florida. NPI 1679041081 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · PONTE VEDRA BEACH, FL
Registration Details
- NPI Number
- 1679041081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2018 (7.7830513027339 yrs)
- Last Updated
- Nov 8, 2018
- License
-
PT33327 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 ATP TOUR BLVDPONTE VEDRA BEACH, FL, 320823211Browse FL providers · Browse ZIP 32082
- Phone
- 4802084508
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
Other Environmental Modification (OT) Providers in PONTE VEDRA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. BRETT RICHARD JORGENSON | MPT | 1871695585 |
| ANDREW THIEN DUONG | — | 1356160204 |
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.