Individual
ABIOLA SASORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12050 RED IBIS LN APT 1075, ORLANDO, FL 32817-3544
(571) 316-3604
Mailing address
12050 RED IBIS LN APT 1075, ORLANDO, FL 32817-3544
(571) 316-3604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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