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Individual

ELISSA KYROLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.T.C., L.A.T.

Contact information

Practice address
1400 NW 12TH AVE, SPORTS MEDICINE, MIAMI, FL 33136-1003
(305) 689-0105
(305) 689-0106
Mailing address
1400 NW 12TH AVE, SPORTS MEDICINE, MIAMI, FL 33136-1003
(305) 689-0105
(305) 689-0106

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2844
FL

Other

Enumeration date
03/22/2013
Last updated
03/22/2013
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