Individual
SAMANTHA J VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4180 N ORION BLVD, ORLANDO, FL 32816-8029
(407) 823-0095
(407) 823-6744
Mailing address
1049 CHATHAM PINES CIR APT 307, WINTER SPRINGS, FL 32708-5247
(404) 217-6572
(407) 823-6744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3696
FL
Other
Enumeration date
03/02/2007
Last updated
03/18/2015
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