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:
Health care specialties
Specialty | Code | License # | 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 6 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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