Individual
JENNIFER MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
11502 BELMACK BLVD S, ODESSA, FL 33556-5104
(727) 687-3793
Mailing address
11502 BELMACK BLVD S, ODESSA, FL 33556-5104
(727) 687-3793
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL-2653
FL
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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