JAVONTE FREDERICKS

ALTAMONTE SPRINGS, FL
NPI1285211847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: FL  pta30943)
Enumeration Date2021-03-28
Last Update Date2021-03-28
Business Address
JAVONTE FREDERICKS
535 ONE CENTER BLVD APT 208
ALTAMONTE SPRINGS, FL 32701-2240
Phone number: 321-202-1749
Mailing Address
JAVONTE FREDERICKS
535 ONE CENTER BLVD APT 208
ALTAMONTE SPRINGS, FL 32701-2240
Phone number:
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