Organization
PROBODY SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA DELANEY (EXECUTIVE DIRECTOR)
(407) 964-1411
Entity
Organization
Contact information
Practice address
4798 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810-1601
(407) 964-1411
Mailing address
4798 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810-1601
(407) 964-1411
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA61931
FL
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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