IRA J HART

LEESBURG, FL
NPI1043427842
Other NameJAKE HART
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL  AL1728)
Enumeration Date2007-05-17
Last Update Date2014-07-29
Business Address
IRA J HART ATC
9501 US HIGHWAY 441
LEESBURG, FL 34788-3950
Phone number: 352-435-6320
Mailing Address
IRA J HART ATC
8915 SILVER LAKE DR APT. 5
LEESBURG, FL 34788-3423
Phone number: 352-497-7486