Individual
RICHARD CHAMBERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 EASTERN AVE, SAINT CLOUD, FL 34769-3037
(321) 624-0354
Mailing address
419 EASTERN AVE, SAINT CLOUD, FL 34769-3037
(321) 624-0354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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