Individual
MICHAEL DOERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3535 PIRATE NATION WAY, PALM COAST, FL 32137-9203
(920) 660-2536
Mailing address
1526 S BOUNDARY ST, DELAND, FL 32720-8420
(920) 660-2536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1597-39
WI
2255A2300X
Athletic Trainer
Primary
AL6971
FL
Other
Enumeration date
07/15/2014
Last updated
07/24/2023
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