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Individual

MR. ERIK THOMAS NASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBA, MS, ATC, CSCS

Contact information

Practice address
770 W GRANADA BLVD, ORMOND BEACH, FL 32174
(321) 537-2633
Mailing address
2910 JACARANDA TRL, TITUSVILLE, FL 32780-5997
(321) 264-2966

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL820
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
820
ATHLETIC TRAINER
FL
Enumeration date
06/30/2006
Last updated
09/09/2019
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