Elizondo, Mauricio

Elizondo, Mauricio is an sole proprietor health care provider with primary practice located at 201 Atp Tour Blvd , Ponte Vedra Beach FL 32082-3211. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Elizondo, Mauricio can be contacted via phone (480) 208-4508.

Contact Information

Primary practice address
201 Atp Tour Blvd Ponte Vedra Beach FL 32082-3211
Phone: (480) 208-4508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT33327 Florida

Profile Details

NPI number 1679041081
LBN Legal business name Elizondo, Mauricio
Credentials PT, DPT, ATC, CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2018
Last updated Nov 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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