J R TITSWORTH

DADE CITY, FL
NPI1861428120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-06-25
Last Update Date2007-07-08
Business Address
Mr. J R TITSWORTH ATC, LAT, LPTA
5007 BOBWHITE CT 38652 SR 52 , PHS DADE CITY FL 33525
DADE CITY, FL 33523-8806
Phone number: 352-583-0659
Mailing Address
Mr. J R TITSWORTH ATC, LAT, LPTA
5007 BOBWHITE CT
DADE CITY, FL 33523-8806
Phone number: 352-583-0659