Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clifford Jefferson Dominique, PTA

Individual provider Physical Therapy Assistant · NPI 1790586873

Clifford Jefferson Dominique, PTA is a Physical Therapy Assistant in Apopka, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1151 Encourte Grn
Apopka, FL 32712-2103
Phone: (772) 828-7303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence D552110020560 (FL)

Record details

NPI number1790586873
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 23, 2025

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