PHILLIP FAIN

JACKSONVILLE, FL
NPI1366985731
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL4264)
Enumeration Date2016-12-02
Last Update Date2016-12-02
Business Address
-- PHILLIP FAIN
3563 PHILLIPS HWY BUILDING E, SUITE 502
JACKSONVILLE, FL 32207-5663
Phone number: 904-202-4332
Mailing Address
-- PHILLIP FAIN
2535 CALADIUM RD
JACKSONVILLE, FL 32211-4090
Phone number: