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Individual

MR. JUSTIN MICHAEL COBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT, ATC/LAT, CSCS

Contact information

Practice address
4501 VINELAND RD STE 103, ORLANDO, FL 32811-7375
(407) 852-3200
Mailing address
9248 SWEET MAPLE AVE, ORLANDO, FL 32832-5668

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1967
FL

Other

Enumeration date
01/05/2007
Last updated
01/19/2010
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