| NPI | 1538838628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE LEE MORENO Manager 727-422-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-21 |