Individual
ERIC EDWIN SWANNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
655 LONGWOOD LAKE MARY RD, LAKE MARY, FL 32746-3701
(407) 320-9753
Mailing address
970 2ND PL, LONGWOOD, FL 32750-3056
(407) 831-8185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 375
FL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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