JOHAN SAMIR MUSSA

ORLANDO, FL
NPI1649774027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  6784)
Enumeration Date2018-03-21
Last Update Date2026-02-24
Business Address
JOHAN SAMIR MUSSA LAT, ATC
4000 CENTRAL FLORIDA BLVD
ORLANDO, FL 32816-8005
Phone number: 407-823-2408
Mailing Address
JOHAN SAMIR MUSSA LAT, ATC
4612 PARK EDEN CIR
ORLANDO, FL 32810-1903
Phone number: 787-361-2019