Individual
DANIEL NICOLAS TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9446 PHILIPS HWY STE 1, JACKSONVILLE, FL 32256-1349
(904) 262-7460
Mailing address
3132 KERNAN LAKE CIR APT 201, JACKSONVILLE, FL 32246-4299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 4140
FL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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