Individual
DR. KIMBERLY BISPOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 TECHNOLOGICAL AVE, ORLANDO, FL 32817-8353
(407) 681-2520
Mailing address
PO BOX 222072, WEST PALM BEACH, FL 33422-2072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3435
FL
2255A2300X
Athletic Trainer
AT002196
GA
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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