Provider Demographics
NPI:1649309923
Name:DEES, CLIFF M (ATC)
Entity type:Individual
Prefix:
First Name:CLIFF
Middle Name:M
Last Name:DEES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 NE 3RD AVE
Mailing Address - Street 2:#113
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3273
Mailing Address - Country:US
Mailing Address - Phone:305-298-4753
Mailing Address - Fax:
Practice Address - Street 1:6601 NW 167TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4206
Practice Address - Country:US
Practice Address - Phone:305-364-4810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer