Individual
STEVEN SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, PES
Contact information
Practice address
600 S CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-3966
(386) 226-7546
Mailing address
600 S CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114
(386) 226-7546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1327
FL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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