Most Relevant Information
Provider Data
| NPI Number: | 1003321472 |
| Provider Name: | CLIFTON MASON |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA22747 |
Most Important Dates
| Enumeration Date: | 12/07/2017 |
| Last Updated: | 12/07/2017 |
Provider Practice Location
956 INTERNATIONAL PKWY STE 1580
LAKE MARY
FL
327465219
Practice Location Phone/Fax
| Phone: | 4079360314 |
| Fax: |
Provider Mailing Location
956 INTERNATIONAL PKWY STE 1580
LAKE MARY
FL
327465219
Provider Mailing Phone/Fax
| Phone: | 4079360314 |
| Fax: | 4079360316 |