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Individual

ROD SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, CES, PES

Contact information

Practice address
1 EVERBANK FIELD DR, JACKSONVILLE, FL 32202-1928
(904) 633-6561
(904) 633-6070
Mailing address
1 EVERBANK FIELD DR, JACKSONVILLE, FL 32202-1928
(904) 633-6561
(904) 633-6070

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
4967721
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TAXONOMY CODE 2255A2
PROVIDER TYPE 22
FL
Enumeration date
02/13/2014
Last updated
02/13/2014
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