Individual provider · Type 1 NPI

Mauricio Elizondo, PT, DPT, ATC, CSCS

Sports Physical Therapist · Ponte Vedra Beach, FL

NPI number 1679041081 Active

Practice location

201 Atp Tour Blvd
Ponte Vedra Beach, FL 32082-3211

Mailing address

16627 Fishhawk Blvd
Lithia, FL 33547-3800

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007XPT33327 (FL)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

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About NPI 1679041081

Mauricio Elizondo, PT, DPT, ATC, CSCS's National Provider Identifier is 1679041081, issued on Nov 5, 2018. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Nov 8, 2018.