Provider Demographics
NPI:1487807319
Name:CLERMONT, PIERRE PHILIPPE (MSPT)
Entity type:Individual
Prefix:MR
First Name:PIERRE
Middle Name:PHILIPPE
Last Name:CLERMONT
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 NW 95TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-2615
Mailing Address - Country:US
Mailing Address - Phone:786-709-7268
Mailing Address - Fax:305-835-0685
Practice Address - Street 1:1395 NW 95TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-2615
Practice Address - Country:US
Practice Address - Phone:786-709-7268
Practice Address - Fax:305-835-0685
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13681225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist