| NPI | 1831234350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD TIMOTHY BOBO Athletic Trainer 863-465-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL 1131) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-08-08 |