KEITH WILLIAM MIESSAU

LAKE MARY, FL
NPI1750357869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL 1930)
Enumeration Date2006-02-28
Last Update Date2008-04-29
Business Address
-- KEITH WILLIAM MIESSAU ATC, LAT
655 LONGWOOD LAKE MARY RD
LAKE MARY, FL 32746-3701
Phone number: 407-320-9753
Mailing Address
-- KEITH WILLIAM MIESSAU ATC, LAT
1575 HUNTERS STAND RUN
OVIEDO, FL 32765-5100
Phone number: 407-619-0951
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