Individual
MR. RICHARD BLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6500 TURKEY LAKE RD, ORLANDO, FL 32819-4718
(407) 355-3200
Mailing address
6500 TURKEY LAKE RD, ORLANDO, FL 32819-4718
(407) 355-3200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1360
FL
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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