Individual
MICHAEL NORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
108 SW 24TH ST, GAINESVILLE, FL 32607-3125
(813) 785-3044
Mailing address
6016 ST. REMY WAY, LUTZ, FL 33558
(813) 785-3044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7539
TX
Other
Enumeration date
11/28/2016
Last updated
03/11/2020
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