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Individual

MR. TRAYVOND ETIENNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
3901 E COLONIAL DR, ORLANDO, FL 32803-5230
(407) 972-0924
(407) 930-6070
Mailing address
3901 E COLONIAL DR, ORLANDO, FL 32803-5230
(407) 972-0924
(407) 930-6070

Taxonomy

Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1076885
FL

Other

Enumeration date
10/04/2023
Last updated
12/19/2025
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